A case report on herbicidal intoxication with mecoprop

doi:N/A

eISSN: None / ISSN: None

Netharland Journal of Critical Care

2020, Volume 28, Issue 4 : 175-179

Article

A case report on herbicidal intoxication with mecoprop

Heldens M.W.T.

Uijt de Haag J.

van der Nat G.A.M.

Intensive Care Unit, Sydney Adventist Hospital, Sydney, Australia

Department of Psychiatry, Rijnstate Hospital, Arnhem, Netherlands

Intensive Care Unit, Elisabeth TweeSteden Hospital, Tilburg, Netherlands

Abstract

Mecoprop is a hormone-type phenoxy herbicide that is found in many household weed killers. We describe a case of a 55-year-old female who was admitted to the intensive care unit after an intentional overdose with paroxetine and mecoprop. She developed severe refractory distributive shock, hyperkalaemia, hyperthermia, coma with absent brainstem reflexes, haemorrhagic gastrointestinal ulcerations, anaemia, leukopenia, thrombocytopenia and marked coagulopathy. She was treated with intensive supportive management, mass transfusion, dantrolene, sodium bicarbonate and intravenous lipid emulsion. She eventually made a full recovery. This report highlights the dangers, clinical presentation and treatment of phenoxy herbicide intoxications. © 2020, Netherlands Society of Intensive Care. All rights reserved.

Keywords

Herbicidal intoxication

Intralipid

Intravenous lipid emulsion

Mecoprop

Phenoxy herbicides

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