Table 2 Literature regarding uncontrolled seizures and/or pulmonary manifestations induced by ingestion of pyrethroids, by first author
From: Severe dyspnea and uncontrolled seizures following meperfluthrin poisoning: a case report
First author, year[Ref.] | Region | Age | Gender | Pyrethroids | Dose(mg) | Symptoms | Chest X-ray/CT | neuroimaging | treatment | prognosis |
|---|---|---|---|---|---|---|---|---|---|---|
Jisa George, 2015 [8] | India | 30 years | Female | Prallethrin | Unknown quantity | Shortness of breath, chest pain, acute respiratory distress syndrome | X-ray and CT of chest showed widespread confluent areas of consolidation with interlobular septal thickening | Not mentioned | Broad spectrum antibiotics, steroid therapy | Recovery after 21 days |
A. Giampreti, 2013 [9] | Italy | 19 months | Female | A mixture of bifenthrin and esbiothrin | Unknown quantity | Progressive drowsiness, recurrent tonic–clonic seizures | Not mentioned | No abnormalities | No response to midazolam but thiopental sodium was effective, mechanical ventilation | Recovery after 12 days |
Kiran Lata Shringi, 2015 [10] | India | 25 years | Female | Transfluthrin | 792 | Altered sensorium, generalized tonic-clonic convulsions | No abnormalities | No abnormalities | No response to phenytoin and diazepam but a combination of midazolam, propofol and phenobarbitone elicited a response, mechanical ventilation, antibiotics | Recovery after 7 days |
Supradip Ghosh, 2009 [11] | India | 24 years | Female | Deltamethrin | Unknown quantity | Generalized tonic-clonic seizures | No abnormalities | Not mentioned | No response to laurazepam and phenytoin but a combination of midazolam and thiopentone sodium was effective, mechanical ventilation | Recovery after 5 days |
Present study | China | 16 months | Male | Meperfluthrin | 240 | Shortness of breath, serious dyspnea, cyanosis, tonic-clonic convulsions | X-ray and CT of chest showed multiple patchy high-density shadows in the lungs bilaterally. | No abnormalities | No response to 10% chloral hydrate, midazolam and phenobarbital but propofol was effective, broad spectrum antibiotics, mechanical ventilation | Recovery after 30 days |