title: Lessons learned from poisoning cases caused by 2 illegal rodenticides: Tetramine and fluoroacetamide.
abstract: BACKGROUND
  Tetramine (tetramethylene disulphotetramine, TETS) and fluoroacetamide (FAA) are known as illegal rodenticides with high toxicity to animal species and human beings, which could lead to severe clinical features, including reduction of consciousness, convulsions, coma, and even death.
  
  
  RESULTS
  We presented 2 cases that involved rodenticides poisoning. Even though the patients showed severe manifestations, they were initially misdiagnosed, resulting in 2 persons finally died from TETS and FAA poisoning in homicide cases.
  
  
  CONCLUSIONS
  From the clinical and forensic experience of these 2 cases, we suggest that physicians should consider TETS and FAA poisoning when patients present generalized seizures, especially in some cases without clear cause and diagnosis of disease. Early diagnosis and treatment are essential for positive management and criminal investigation in intentional poisoning cases. Moreover, clinical toxicology education should be reinforced.
authors.affiliation: Department of Forensic Medicine, Tongji Medical College, Huazhong University of Science and Technology, Wuhan Institute of Forensic Science, Fujian Provincial Department of Public Security, Fuzhou, China.
authors.forename: Rongshuai
authors.initials: R
authors.lastname: Wang
authors.forename: Luo
authors.initials: L
authors.lastname: Zhuo
authors.forename: Yunyun
authors.initials: Y
authors.lastname: Wang
authors.forename: Liang
authors.initials: L
authors.lastname: Ren
authors.forename: Qian
authors.initials: Q
authors.lastname: Liu
authors.forename: Liang
authors.initials: L
authors.lastname: Liu
mesh_terms: D001952:Bridged-Ring Compounds / Q000506:poisoning*; D003951:Diagnostic Errors; D017809:Fatal Outcome; D005463:Fluoroacetates / Q000506:poisoning*; D008401:Gas Chromatography-Mass Spectrometry; D006801:Humans; D008297:Male; D008875:Middle Aged; D011041:Poisoning / Q000175:diagnosis*; D012378:Rodenticides / Q000506:poisoning*
chemical_list: D001952:Bridged-Ring Compounds; D005463:Fluoroacetates; D012378:Rodenticides; C007741:fluoroacetamide; C010349:tetramethylenedisulfotetramine