CASE REPORT
Severe carbamates intoxication of 43-year-old farmer – case report
 
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1
Toxicology Clinic, Medical University, Lublin, Poland
2
Clinical Department of Toxicology and Cardiology, Stefan Wyszyński Regional Specialist Hospital, Lublin, Poland
CORRESPONDING AUTHOR
Anna Katarzyna Orzeł   

Toxicology Clinic, Medical University of Lublin, Lublin, Poland
 
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ABSTRACT
Introduction:
Carbamate insecticides are methyl carbamic acid esters and reversible cholinesterase inhibitors. In contrast to the long-term action of organophosphate insecticides, this complex undergoes rapid hydrolysis.

Case report:
A suicidal poisoning by exposure to carbofuran in a 43-year-old farmer is reported. The patient had a sudden respiratory and cardiac arrest in the mechanism of bradycardia asystole. He was additionally diagnosed with metabolic acidosis and massive aspiration pneumonia. After applied treatment, the patient’s general condition improved – alignment of efficiency of both respiratory and circulatory efficiency were reached.

Conclusion:
Carbofuran is one of the most toxic carbamate insecticides. It is therefore important to react quickly and choose the right treatment. Differentiation between organophosphate and carbamate intoxication is essential.

 
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