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KMID : 1013220100080020122
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Jouranl of the Korean Society of Clinical Toxicology
2010 Volume.8 No. 2 p.122 ~ p.124
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A Case of Bentazone Poisining Mimicking Organophosphate Intoxication
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Jung Hyun-Min
Kim Ji-Hye
Han Seung-Baik
Paik Jin-Hui
Kim Ji-Yoon
Kim Jun-Sig
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Abstract
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Basagran(R) is a herbicide that is widely used in the field and it acts by interfering with photosynthesis in plants. It consists of bentazone, 2-methyl-4-chlorophenoxyacetic acid (MCPA) and surfactants. Bentazone is commonly used, but poisoning due to Bentazone has not been previously reported in Korea. The patients with toxic effects of bentazone show mild to severe symptoms and various complications. We report here on a case of a woman who intentionally ingested 500 ml of Barsaran(R) and she was discharged without complication. As soon as the patient visited the emergency department, we started to treat her as if she had organophosphate intoxication because of the cholinergic symptoms. We could not detect the bentazone in her serum and urine, and we could confirm Basagran(R) ingestion only after getting information from her husband. Bentazone poisoning may induce harmful complications like muscle rigidity, rhabdomyolysis, respiratory failure and cardiac arrest. A detailed history taking, an accurate analysis method and early conservative management will be helpful for patients with acute bentazone poisoning.
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KEYWORD
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Bentazone, Cholinergics, Organophosphates, Complications
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