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Journal of Nutraceuticals and Health

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Case Report
Clinico-socio-epidemiological prole of amitraz poisoning: a case series
Addepalli Naga Sowmya1, Arpan Kumar Patel2, Santhi M3 and M Nagarjuna4  
sowmyaaddepalli2@gmail.com

1Emergency Medicine Department, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, India
2General Surgery Department, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, India
3Forensic Medicine Department, Sri Venkateshwara Medical College, Tirupati, Andhra Pradesh, India
4Community Medicine Department, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, India

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ABSTRACT

Background: Amitraz, a formamidine compound widely used as an acaricide and pesticide, poses a significant threat to human health due to its toxic properties. This paper investigates the clinical-socio-epidemiological profile, PSS score, and complications of amitraz poisoning.

Methods: We report a case series of 8 patients with acute amitraz poisoning patients who presented to the emergency department of SVIMS, Tirupati, Andhra Pradesh, with consumption of only amitraz compound, not one combination of any other compound during the period from March 2020 to June 2021. These cases were studied and guided by literature.

Results: The study revealed diverse symptoms, including vomiting, diarrhea, bradycardia, and hyperglycemia among affected individuals. Laboratory investigations showed metabolic acidosis in 75% of cases and miosis in 62.5% of cases. Supportive care led to successful recovery in the majority of cases, with only one fatality reported.

Conclusions: Amitraz poisoning presents varied clinical manifestations and requires prompt recognition and management. Despite lacking a specific antidote, supportive care leads to favorable outcomes in most cases. Increased awareness, preventive measures, and regulatory interventions are essential to mitigate the growing incidence of amitraz poisoning.

 



KEYWORDS

    1. Amitraz
    2. Bradycardia
    3. Hyperglycemia
    4. Insecticide
    5. Poisoning severity score


Author Info

Addepalli Naga Sowmya1, Arpan Kumar Patel2, Santhi M3 and M Nagarjuna4

1Emergency Medicine Department, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, India
2General Surgery Department, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, India
3Forensic Medicine Department, Sri Venkateshwara Medical College, Tirupati, Andhra Pradesh, India
4Community Medicine Department, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, India


Corresponding author: sowmyaaddepalli2@gmail.com

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