Mehmet SARGIN, Mehmet Selçuk ULUER, Çiğdem SELEK YARAR, Osman ŞAHİN

Yoğun bakımda takip edilen bir abamektin intoksikasyonu olgusu

Abamektin intoksikasyonu nadir fakat alınan miktara bağlı olarak ölüme kadar gidebilen bir durumdur. Bizim olgumuzda 38 yaşındaki bir erkek özkıyım amaçlı 200 ml abamektin (18g/L) içerek intoksikasyon gerçekleşmiştir. Yoğun bakıma kabulünde şuuru kapalı ve Glaskow Koma Skalası Skoru 7 olan hasta nörolojik bulguları dışında herhangi bir abamektin intoksikasyonu ile ilgili bir kliniği söz konusu değildi. Uygulanan yoğun destek tedavisi ile birlikte yoğun bakıma kabulünün 12. saatinde anlamsız sesler çıkarmaya gözlerini spontan açmaya başlayan hastanın yoğun bakımdaki 2. gününde ise nörolojik durumu tamamen normale döndü. Yoğun bakım takiplerinde herhangi bir anormallik olmaması üzerine 3. günün sonunda servise devredildi. Abamektin intoksikasyonunda dikkatli bir destekleyici tedavi ile başarılı sonuçlar alınabilmektedir.

An abamectin intoxication case followed in intensive care

Abamectin intoxication is rare but depending on the amount taken can go up to death. In our case, a 38-year-old man was intoxicated with 200 mL abamectin (18g/L) orally for suicide. Patient was unconscious in the intensive care unit admission and Glasgow Coma Scale score was 7 but there were no clinical findings about abamectin intoxication except neurological findings. Patient voiced meaningless sounds and began to open eyes spontaneously at 12 hours after admission to intensive care and neurological condition completely returned to normal in intensive care on day 2 with applied intensive conservative treatment. At the end of the third day on the absence of any abnormalities in intensive care he was transferred to the service. Successful results can be obtained with careful supportive treatment in abamectin intoxication.

Keywords:

Abamectin, intoxication, neurological symptoms, conservative treatment,

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