title: [Posictal neurogenic pulmonary edema secondary to acute poisoning by organochlorine pesticide in an adolescent suicide attempt].
abstract: We reported the case of an adolescent, without neurological background, who attempted suicide by organochlorine pesticide ingestion. The acute intoxication was expressed as a convulsive status epilepticus followed by an acute neurogenic pulmonary edema with rapid recovery within 48 hours. The diagnosis of neurogenic pulmonary edema in pediatrics, and particulary after a seizure, is unusual and often an exclusion one. Its evolution tends to be favorable, but can be fatal if it is not recognized and treated early. An acute nervous system injury associated with signs and symptoms of respiratory failure suggests the diagnosis. Other causes of pulmonary edema must be ruled out in order to avoid evaluation and treatment mistakes.
authors.affiliation: Unidad de Nefrología, Hospital de Niños Héctor Quintana, Jujuy, Argentina. tama@imagine.com.ar
authors.forename: Gustavo Roberto
authors.initials: GR
authors.lastname: Marín
authors.forename: Berta
authors.initials: B
authors.lastname: Baspineiro
mesh_terms: D000293:Adolescent; D005260:Female; D006801:Humans; D006843:Hydrocarbons, Chlorinated / Q000506:poisoning*; D009422:Nervous System Diseases / Q000139:chemically induced; D010575:Pesticides / Q000506:poisoning*; D011654:Pulmonary Edema / Q000139:chemically induced*; D013406:Suicide, Attempted
chemical_list: D006843:Hydrocarbons, Chlorinated; D010575:Pesticides