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Journal of The Korean Society of Emergency Medicine 2004;15(3): 205-207. |
| Death from Ingestion of beta-fluoroethyl Acetate Rodenticide |
| Seon Hee Woo, Si Kyoung Jeong, Woon Jeoung Lee, Won Jae Lee, Se Kyung Kim |
| Department of Emergency Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. sikyoung@catholic.ac.kr |
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| ABSTRACT |
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The highly toxic sodium monofluoroacetate (SMFA) was banned as a rodenticide in this country in the 1980s. The fluoroacetate metabolite, fluorocitric acid blocks cellular metabolism by inhibiting the Klebs cycle, producing widespread clinical effects including respiratory, neurologic, cardiologic, and fluid-electrolyte abnormalities. We report the case of intentional ingestion of a derivative product, beta-fluoroethyl acetate. A 79-yr-old female was brought to the emergency room without any problem. At 2hours post ingestion, she had a generalized tonic-clonic seizure and then, was unresponsive to painful stimuli. At 6hours post ingestion, she died from refractory ventricular fibrillation. We report this patient to increase awareness of beta-fluoroethylacetate toxicity. |
| Key words:
beta-fluoroethyl acetate, Rodenticide, Poisoning |
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