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Organophosphate acetylcholine esterase inhibitor poisoning from a home-made shampoo

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TLDR
Two children were admitted to the pediatric intensive care unit due to organophosphate acetylcholine esterase inhibitor poisoning after exposure from a home-made shampoo that was used for the treatment of head lice.
Abstract
Organophosphate acetylcholine esterase inhibitor poisoning is a major health problem in children. We report an unusual cause of organophosphate acetylcholine esterase inhibitor poisoning. Two children were admitted to the pediatric intensive care unit due to organophosphate acetylcholine esterase inhibitor poisoning after exposure from a home-made shampoo that was used for the treatment of head lice. Owing to no obvious source of poisoning, the diagnosis of organophosphate acetylcholine esterase inhibitor poisoning in one of these patients was delayed. Both patients had an uneventful recovery. Organophosphate acetylcholine esterase inhibitor poisoning from home-made shampoo is possible. In cases where the mode of poisoning is unclear, direct questioning about the use of home-made shampoo is warranted, in these cases the skin and particularly the scalp should be rinsed thoroughly as soon as possible.

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Journal ArticleDOI

Clinical features of organophosphate poisoning: a review of different classification systems and approaches

TL;DR: Different approaches to the symptoms and signs in OP poisoning may better the understanding of the underlying mechanism that in turn may assist with the management of acutely poisoned patients.
Journal ArticleDOI

Poisoning Through Pediatric Skin: Cases from the Literature.

TL;DR: A literature search for all article types between 1950 and April 2016 provided a single source of detectable cases of acute toxicity in pediatric patients due to percutaneous exposure to provide a comprehensive report on causes of pediatric poisoning through the skin.
Journal ArticleDOI

Les pédiculoses et le rôle du laboratoire

Abstract: Resume Les pediculoses humaines sont des affections cosmopolites, prurigineuses, contagieuses, dues a des ectoparasites obligatoires, specifiques et hematophages, les poux. Les difficultes rencontrees dans leur prise en charge justifient l’interet porte a ces affections. La pediculose a Pediculus humanus capitis, ou pediculose du cuir chevelu, est la forme la plus frequente des pediculoses. Elle touche toutes les couches de la population. Le diagnostic est pose par la mise en evidence des poux sur le cuir chevelu, alors que la presence de lentes ne correspond pas toujours a une affection patente. La pediculose du cuir chevelu est habituellement prise en charge par le patient lui-meme, ou par ses parents, avec souvent l’aide du pharmacien. Le laboratoire n’intervient que pour l’evaluation de la sensibilite des poux aux insecticides. Les poux de corps, Pediculus humanus humanus, sont devenus rares dans la population generale et ne sont observes que chez les «sans domicile fixe», souvent associes a la pauvrete et au manque d’hygiene. Les poux de corps sont connus comme vecteurs des redoutables maladies infectieuses: le typhus exanthematique (Rickettsia prowazekii), fievre recurrente a poux (Borrelia recurrentis) et fievre des tranchees (Bartonella quintana). Les poux de corps sont souvent observes par les medecins et les infirmieres des services des urgences et des maladies infectieuses. L’aide du laboratoire est demandee pour la confirmation du diagnostic et la recherche d’agents pathogenes dans les insectes. Les poux du pubis, ou morpions (Pthirus pubis), sont de plus en plus rares, ne sevissent que sporadiquement et l’aide du laboratoire n’est demandee pour le diagnostic qu’episodiquement.
Journal ArticleDOI

Status Epilepticus Due to Organophosphate Poisoning in an Infant

TL;DR: Safety and efficacy data of pralidoxime in infants are limited in literature and was found safe in the case of a three months old female presented with status epilepticus who was diagnosed as organophosphate poisoning.
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Is Matrix shampoo bad?

In cases where the mode of poisoning is unclear, direct questioning about the use of home-made shampoo is warranted, in these cases the skin and particularly the scalp should be rinsed thoroughly as soon as possible.