Journal of Medical Toxicology and Clinical Case Reports

Research Article | Open Access

Volume 2024 - 1 | Article ID 255 | http://dx.doi.org/10.51521/JMTCCR.2024.11103

Acetamiprid Poisoning: A Case Report of Self- Poisoning with an Acetamiprid-Containing Insecticide

Academic Editor: John Bose

  • Received 2024-06-18
  • Revised 2024-06-30
  • Accepted 2024-07-05
  • Published 2024-07-10

Dr. Wala Osama Sati, Dr. M Nour Chabalout, Dr. Salma Hayder Tarfa, Dr. Waleed Awad Salem, Dr. Tarek Ahmed Alrefi

 

Dr. Wala Osama Sati, Emergency Physician, Medical Toxicology Fellow Hamad Medical Corporation, Emergency Medicine; Email: walasati9@gmail.com

 

Dr. M Nour Chabalout, Hamad Medical Corporation, Emergency Medicine

 

Dr. Salma Hayder Tarfa, Emergency physician, Medical toxicology fellow Hamad Medical Corporation, Emergency Department

 

Dr. Waleed Awad Salem, Hamad Medical Corporation, Emergency Medicine, Medical Toxicology

 

Dr. Tarek Ahmed Alrefi, Hamad Medical Corporation, Emergency Department, Medical Toxicology

 

Emergency Medicine Department, Hamad General Hospital, P.O.Box: 3050, Doha, Qatar. Tel:(+974)  44395777;  E-mail:  nesmaak@hamad.qa

Corresponding Author: Dr. Wala Osama Sati, Emergency Physician, Medical Toxicology Fellow Hamad Medical Corporation, Emergency Medicine.

Citation: Dr. Wala Osama Sati, Dr. Salma Hayder Tarfa, Dr. Waleed Awad Salem, Dr. Tarek Ahmed Alrefi (2024). Acetamiprid Poisoning: A Case Report of Self- Poisoning with an Acetamiprid-Containing Insecticide. J Med Toxicol Clin Case Rep, 1(1),1-4.

Copyright: © 2024; Dr. Wala Osama Sati, et al., This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.

Abstract:

Insecticides play an important role in controlling as well as in preventing the transmission of insect-borne diseases. However, insecticides exposure can result in harmful off-target effects. Over the past few decades, numerous classes of insecticides have been introduced. Neonicotinoids means “new nicotine-like insecticide”, were developed to replace older and more harmful insecticides. Acetamiprid is a new-generation chloronicotinyl insecticide target nicotinic acetylcholine receptors. The majority of studies have endorsed the use of neonicotinoids as a safer alternative to other insecticides. However, a few studies have associated neonicotinoid exposure in mammals with adverse reproductive and developmental outcomes, such as embryo death, premature birth, reduced pregnancy rates, impaired sperm function, decreased offspring weight, and stillbirth. Understanding the risks across these classes is crucial for developing safer strategies. Here, we present a case report of a 32-year-old male who self-poisoned with an acetamiprid- containing insecticide. Upon presentation, he exhibited abnormal vital signs, which ultimately led to cardiac arrest despite resuscitation efforts. Treatment involved supportive measures with intravenous fluids and vasopressors, administering atropine and performing endotracheal intubation. After four days, the patient showed signs of improvement, eventually being successfully extubated, and discharged 13 days later in stable condition.

 

Keywords: Acetamiprid Poisoning, Tachycardia, Acetamiprid, Chest XR

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