Tetramethylenedisulfotetramine contaminated milk powder induced status epilepticus in two siblings and two dogs.
A cluster of patients with tetramethylenedisulfotetramine (TETS) intoxication was reported in Thailand. Two siblings, a-six-month-old boy and a-four-year-old girl, and their domestic dogs presented with status epilepticus within 10 minutes after ingesting milk prepared from the same tin container of milk powder. Although the cases showed normal neurodevelopment at one-year follow-up, physicians should be informed of this lethal neurotoxic agent, especially in an era of terroristic activity.
Intusoma
Utcharee
U
Neurology Unit, Department of Pediatrics, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand. utchareei@yahoo.com
Sornsrivichai
Vorasith
V
D000818:Animals; D001952:Bridged-Ring Compounds / Q000009:adverse effects*; D002675:Child, Preschool; D004283:Dog Diseases / Q000139:chemically induced*; D004285:Dogs; D005260:Female; D005506:Food Contamination; D006801:Humans; D007223:Infant; D008297:Male; D008892:Milk / Q000009:adverse effects*; D020258:Neurotoxicity Syndromes / Q000209:etiology*; D013226:Status Epilepticus / Q000139:chemically induced* / Q000662:veterinary*
D001952:Bridged-Ring Compounds; C010349:tetramethylenedisulfotetramine