2019, Number 2
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Acta Pediatr Mex 2019; 40 (2)
Clandestine sale of rodenticides, a health problem. Report of two cases
Avilés-Martínez KI, Villalobos-Lizardi JC, López-Enríquez A
Language: Spanish
References: 17
Page: 71-84
PDF size: 335.10 Kb.
ABSTRACT
Background: The clandestine sale of chemical substances, such as rodenticides,
is a manifestation of poverty and social exclusion. It reflects the effects of economic
inequality, which, in turn, establishes consumption patterns. The rodenticides acquired
in these circumstances are accessible, have an efficient distribution channel, the sellers
sponsor them effectively and their price is low. On the other hand, they imply a
potentially lethal health problem due to content, falsification, adulteration and inadequate
or absent labeling. This manuscript places in perspective the complex work of
the pediatrician before scenarios of this magnitude.
Clinical cases: Two non-lethal clinical cases are presented in previously healthy children
who ingested unlabeled rodenticidal products obtained from illegal street vendors;
the first case with intoxication due to difethialone, second-generation anticoagulant
rodenticide (intoxication is reported in 2 children in the literature). The second case
presented intoxication by carbofuran and developed a cholinergic toxin syndrome (there
are limited bibliographic reports in children). Tools to make diagnostic and therapeutic
decisions based on the available literature are shown.
Conclusions: From this work it is concluded that the significant advances in medicine
and the tools of diagnosis and treatment are always complementary to the social
responsibility of the Pediatrician in the Emergency Department; It corresponds to
recognize the clinical and social problem, warn the population about the lethal risks
of the products acquired by clandestine sale and the mechanisms to prevent them.
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