Case Study

Clinico-socio-epidemiological profile of amitraz poisoning: a case series

Abstract

Background: Amitraz, a formamidine compound widely used as an acaricide and pesticide, poses a signicant threat to human health due to its toxic properties. This paper investigates the clinical-socio-epidemiological prole, 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 aected 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 specic 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

AmitrazBradycardiaHyperglycemiaInsecticidePoisoning severity score

Corresponding Author

Addepalli Naga Sowmya

Emergency Medicine Department, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, India

sowmyaaddepalli2@gmail.com

Article History

Received Date : 12 January 2024

Revised Date : 31 January 2024

Accepted Date : 06 February 2024

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