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Myotonia:A Rare Isolated Clinical Feature of Systemic Toxicity of 2, 4-Dichlorphenoxyacetic Acid (2, 4-D) Poisoning


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1 Department of Medicine, B. J. Medical College, Pune, Maharashtra 411001, India
     

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There are variety of herbicides that are used to control the growth of weed in agriculture and forestry. 2, 4-Dichlorphenoxyacetic acid (2, 4-D) is one of these compounds. Despite its wide use, human poisoning with this compound is rarely reported. Acute poisoning with 2, 4-D compound may be fatal in large ingestion. Almost all of the reported cases of poisonings with this compound (most with suicidal intent) describe the multiorgan dysfunction. We report a case of poisoning with 2, 4-D compound having the myotonia as the isolated clinical feature of systemic toxicity and patient improving with conservative management.

Keywords

2, 4-Dichlorphenoxyacetic Acid (2, 4-D), Herbicides, Multiorgan Failure, Myotonia, Forced Alkaline Diuresis.
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  • Myotonia:A Rare Isolated Clinical Feature of Systemic Toxicity of 2, 4-Dichlorphenoxyacetic Acid (2, 4-D) Poisoning

Abstract Views: 477  |  PDF Views: 2

Authors

A. Mundhe Sanjay
Department of Medicine, B. J. Medical College, Pune, Maharashtra 411001, India
A. Sangle Shashikala
Department of Medicine, B. J. Medical College, Pune, Maharashtra 411001, India
K. Palasdevkar Nilesh
Department of Medicine, B. J. Medical College, Pune, Maharashtra 411001, India
L. Girimaji Nivedita
Department of Medicine, B. J. Medical College, Pune, Maharashtra 411001, India

Abstract


There are variety of herbicides that are used to control the growth of weed in agriculture and forestry. 2, 4-Dichlorphenoxyacetic acid (2, 4-D) is one of these compounds. Despite its wide use, human poisoning with this compound is rarely reported. Acute poisoning with 2, 4-D compound may be fatal in large ingestion. Almost all of the reported cases of poisonings with this compound (most with suicidal intent) describe the multiorgan dysfunction. We report a case of poisoning with 2, 4-D compound having the myotonia as the isolated clinical feature of systemic toxicity and patient improving with conservative management.

Keywords


2, 4-Dichlorphenoxyacetic Acid (2, 4-D), Herbicides, Multiorgan Failure, Myotonia, Forced Alkaline Diuresis.

References





DOI: https://doi.org/10.22506/ti%2F2016%2Fv23%2Fi2%2F146703