Acute amitraz intoxication: retrospective analysis of 45 cases.
OBJECTIVE
To present special clinical and laboratory features of 45 cases (44 adult cases) who were intoxicated through oral route.


METHODS
Retrospective study.


METHODS
Intensive care unit (ICU) of a university hospital.


METHODS
Forty-five patients admitted to the ICU of Cumhuriyet University Hospital.


RESULTS
Forty-five patients between 4 and 97 years of age were evaluated. Intoxication was the result of a suicide attempt in 67% of cases and accidental in 33% of cases. Unconsciousness, nausea and vomiting were the common initial symptoms. The major clinical findings in the ICU were bradycardia, myosis, hypothermia, hyperglycemia, hypotension, coma and respiratory depression. Blood glucose level was increased in 64% of cases. No problem was noted in the patient or the fetus in a pregnant, 27-year-old patient, who was intoxicated with 10 mL of 12.5% amitraz. The length of stay in the ICU was between 2 and 15 days. None of the patients died. All patients were discharged without neurological sequela.


CONCLUSIONS
The prognosis of amitraz intoxications through oral route is benign and results in complete healing; however, we suggest that these cases should be well monitored and followed-up in ICUs.
Demirel
Y
Y
Department of Family Medicine, Cumhuriyet University School of Medicine, 58140 Sivas, Turkey. ydemirel@cumhuriyet.edu.tr
Yilmaz
A
A
Gursoy
S
S
Kaygusuz
K
K
Mimaroglu
C
C
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001794:Blood Pressure / Q000187:drug effects; D001921:Brain / Q000187:drug effects; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007306:Insecticides / Q000506:poisoning*; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014052:Toluidines / Q000506:poisoning*
D007306:Insecticides; D014052:Toluidines; C014983:amitraz