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J Korean Soc Emerg Med > Volume 22(2); 2011 > Article
Journal of The Korean Society of Emergency Medicine 2011;22(2): 188-191.
Delayed Respiratory Failure after Ingesting Imidacloprid Containing Solution
Kyoung Ho Choi, Kyung Uk Lee, Byung Hak So
1Department of Emergency Medicine, College of Medicine, The Catholic University of Korea, Korea. ckyoungho@yahoo.co.kr
2Department of Psychiatry, College of Medicine, The Catholic University of Korea, Korea.
Compared with organophosphate or carbamate insecticides, neonicotinoids have several pharmacological benefits such as a broad spectrum of insecticidal activity, low application rate, and highly selective toxicity to insects. Imidacloprid was the first neonicotonid introduced in the market, in 1991. It has become one of the best selling insecticides globally. Several cases of imidacloprid intoxication have been reported worldwide, but few have been reported in Korea. Recently, we experienced a severe imidacloprid intoxication with delayed respiratory insufficiency and several toxicities. We report the case with the literature review.
Key words: Insecticides, Poisoning, Respiratory insufficiency
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