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J Korean Soc Emerg Med > Volume 15(3); 2004 > Article
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
ABSTRACT
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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