Journal of The Korean Society of Clinical Toxicology (대한임상독성학회지)

Korean society of Clincal Toxicology (대한임상독성학회)
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A Case of a Patient with Stuporous Mentality and Hypotension after Amitraz Ingestion

Amitraz 중독 후 혼수 상태를 보인 환자 1례

  • Jung, Si-Young (Department of Emergency Medicine, School of Medicine, Ewha Womans University) ;
  • Jung, Jin-Hee (Department of Emergency Medicine, School of Medicine, Ewha Womans University) ;
  • Eo, Eun-Kyung (Department of Emergency Medicine, School of Medicine, Ewha Womans University)
  • 정시영 (이화여자대학교 의학전문대학원 응급의학교실) ;
  • 정진희 (이화여자대학교 의학전문대학원 응급의학교실) ;
  • 어은경 (이화여자대학교 의학전문대학원 응급의학교실)
  • Published : 2007.12.31
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Abstract

Amitraz is a formamidine-derived insecticide and acaricide which is commonly used throughout the world. Amitraz intoxication is mediated through ${\alpha}_2$ adrenergic receptor agonist effects, similar to those of the ${\alpha}_2$ agonist clonidine. We report a case of a patient who experienced coma and hypotension after amitraz ingestion. A 37-year-old woman visited the ER with symptoms of vomiting and altered mental state. She had ingested a mouthful of liquid amitraz concentrate (12.5%), which rapidly led to vomiting, hypotension, bradycardia, hyperglycemia, and mental stupor. Supportive treatment, including mechanical ventilation and administration of inotropics, resulted in full recovery within four days.

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