Toxicity from Intra-Abdominal Injection of Chlorfenapyr
Joint Authors
Lee, Jun Hyun
Lee, Jina
Won, Jong Man
Baek, Jong Min
Park, Il Young
Sung, Ki Young
Lee, Do Sang
Source
Case Reports in Emergency Medicine
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-04-16
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Chlorfenapyr is commonly used for food crops in Korea.
However, chlorfenapyr toxicity in humans has not yet been studied.
Case.
A 74-year-old man was admitted to the emergency room after he intra-abdominally injected 20 mL of chlorfenapyr in an attempt to commit suicide.
Emergency surgery was performed and accumulation of approximately 500 mL of reactive fluid in the abdomen was observed.
The entire small intestine showed congestion.
After surgery, additional surgery to drain the fluid was performed on POD 12.
But immediately after administration of general anesthesia, flat rhythm was observed by electrocardiogram (ECG) monitoring, requiring cardiopulmonary resuscitation (CPR).
Discussion.
The color of the bowel was purple, indicating ischemic injury.
This could be attributed to direct absorption of the substance through the peritoneum, leading to chemical injury to the small intestine serosa, unlike in the case of oral ingestion.
This resulted in an ischemic change in the small intestine, eventually leading to sepsis.
Conclusion.
Only a few cases of chlorfenapyr toxicity have been reported in the literature, and death occurred in all cases, including our case.
Therefore, careful and aggressive treatments are necessary.
This is the first reported case of intra-abdominal injection of chlorfenapyr.
American Psychological Association (APA)
Lee, Jina& Lee, Jun Hyun& Baek, Jong Min& Lee, Do Sang& Park, Il Young& Won, Jong Man…[et al.]. 2013. Toxicity from Intra-Abdominal Injection of Chlorfenapyr. Case Reports in Emergency Medicine،Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-1005637
Modern Language Association (MLA)
Lee, Jina…[et al.]. Toxicity from Intra-Abdominal Injection of Chlorfenapyr. Case Reports in Emergency Medicine No. 2013 (2013), pp.1-3.
https://search.emarefa.net/detail/BIM-1005637
American Medical Association (AMA)
Lee, Jina& Lee, Jun Hyun& Baek, Jong Min& Lee, Do Sang& Park, Il Young& Won, Jong Man…[et al.]. Toxicity from Intra-Abdominal Injection of Chlorfenapyr. Case Reports in Emergency Medicine. 2013. Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-1005637
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1005637