Lu A, Yuan F, Yao Y, Wen W, Lu H, Wu S, Wang L. Reversible leukoencephalopathy caused by 2 rodenticides bromadiolone and fluoroacetamide: A case report and literature review.
Medicine (Baltimore) 2021;
100:e25053. [PMID:
33655984 PMCID:
PMC7939157 DOI:
10.1097/md.0000000000025053]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/27/2020] [Accepted: 02/04/2021] [Indexed: 01/04/2023] Open
Abstract
RATIONALE
With the easy access, rodenticide poisoning has been a public health problem in many countries. Characteristics of central nervous system (CNS) lesions induced by rodenticides are scarcely reported.
PATIENT CONCERNS
We presented a case of a 40-year-old man with seizure and consciousness disorder, coagulation dysfunction, and symmetric lesions in white matter and corpus callosum.
DIAGNOSIS
He was diagnosed with rodenticide poisoning due to bromadiolone and fluoroacetamide.
INTERVENTIONS
He was treated with vitamin K, hemoperfusion, acetamide, and calcium gluconate.
OUTCOMES
His leukoencephalopathy was reversed rapidly with the improvement of clinical symptoms.
LESSONS
This report presented the impact of rodenticide poisoning on CNS and the dynamic changes of brain lesions, and highlighted the importance of timely targeted treatments.
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