Presentation
Overview Childhood poisoning frequently presents with delirium, seizures, and decreased level of consciousness. Neurologists are often called upon to evaluate children with these presentations. As children age, distinct patterns of poisoning emerge. [medlink.com]
In addition, case definitions, which include reference citations, are presented for the selected chemicals. [cdc.gov]
"These samples will provide further information about what is present on site to enable decisions to be made on how the site should be managed from now on." [nzherald.co.nz]
Firstly, organ toxicity affecting major organs such as the heart, respiratory tract, kidneys, and liver present problems in assessment and management on a regular basis in poisoned patients. [oxfordmedicine.com]
The two had reportedly shared lodging for several years during their studies and Mr Royal thought they were friends until presented with the lab results. [bbc.com]
Entire Body System
- Unconsciousness
Difficulty in breathing Burns on the lips or mouth Sudden behavior changes, such as unusual sleepiness, irritability, or jumpiness Unexplained nausea or vomiting Stomach cramps without fever Unusual drooling or odd odor on the breath Convulsions or unconsciousness [hopkinsmedicine.org]
Severe throat pain Trouble breathing Burns on the lips or mouth Sudden behavior changes, such as unusual sleepiness, irritability, or jumpiness Nausea or vomiting Stomach cramps with no fever Unusual drooling or odd odor on the breath Convulsions or unconsciousness [urmc.rochester.edu]
Helping someone who is unconscious If you think someone has swallowed poison and they appear to be unconscious, try to wake them and encourage them to spit out anything left in their mouth. [nhs.uk]
If the victim is unconscious or breathing is difficult or labored, call 911. Note: The American Academy of Pediatrics now recommends against using syrup of ipecac to induce vomiting when children swallow a poisonous substance. [webmd.com]
- Fatigue
Adverse reactions to the antidote itself could include blurred vision, dizziness, headache, fatigue, nausea, difficulty breathing and increased heart rate or blood pressure, the agency said. [medicinenet.com]
Mild symptoms of poisoning may include the following: Behavior changes (e.g., restlessness, crankiness) Diarrhea Dizziness Drowsiness Fatigue Headache Loss of appetite Minor skin or eye irritation Nausea or upset stomach Passing cough (cough that comes [healthcommunities.com]
Symptoms of chemical poisoning include: Dizziness Eye irritation Fatigue Headaches Irritation to mucus linings (eg nose and throat) Nausea Vomiting. Unconsciousness. [duncanlewis.co.uk]
Symptoms of mild poisoning headache sweating diarrhoea irritation of nose and throat eye irritation nausea fatigue changes of mood skin irritation insomnia loss of appetite thirst weakness restlessness dizziness sore joints nervousness Symptoms of severe [www1.health.gov.au]
The list may include cancer, memory loss, allergies, multiple chemical sensitivity, chronic fatigue syndrome, infertility in adults, learning and behavioral disorders, developmental abnormalities, and birth defects in children. [encyclopedia.com]
- Swelling
His spokeswoman Kira Yarmysh said on Twitter that the politician had severe facial swelling and a rash all over his body. [cbsnews.com]
AIRWAYS AND LUNGS Breathing difficulty (from inhaling trisodium phosphate) Coughing Throat swelling (which may also cause breathing difficulty) ESOPHAGUS, STOMACH AND INTESTINES Blood in the stool Burns of the esophagus (food pipe) and stomach Diarrhea [medlineplus.gov]
Examine the mouth for cuts, burns, swelling, unusual coloring or odor. Rinse and wipe out the mouth with a cloth. If the person is awake and able to swallow, give one-half glassful of water. [nasdonline.org]
[…] back pain, urinating more or less than usual neurological brain, spinal cord headache, dizziness, behavior confusion, depression, coma, convulsions hematological blood anemia (tiredness, weakness) dermatological skin, eyes rashes, itching, redness, swelling [pmep.cce.cornell.edu]
Respiratoric
- Respiratory Distress
distress that requires intubation (involves passing a tube down the trachea [windpipe] to the lungs to provide breathing assistance; mechanical respiration [i.e., a ventilator] may be necessary) Seizures that do not respond to treatment (called status [healthcommunities.com]
Ricin (Inhalation) Clinical Description Inhalation of ricin typically leads to cough and respiratory distress followed by pulmonary edema, respiratory failure, and multisystem organ dysfunction. [cdc.gov]
Gastrointestinal
- Nausea
Patients were given treatment at the Taman Pasir Putih Community Hall after they suffered shortness of breath, nausea and vomiting. [channelnewsasia.com]
The following are common symptoms of chemical poisoning: Severe throat pain Difficulty in breathing Burns on the lips or mouth Sudden behavior changes, such as unusual sleepiness, irritability, or jumpiness Unexplained nausea or vomiting Stomach cramps [hopkinsmedicine.org]
Common symptoms can include: Severe throat pain Trouble breathing Burns on the lips or mouth Sudden behavior changes, such as unusual sleepiness, irritability, or jumpiness Nausea or vomiting Stomach cramps with no fever Unusual drooling or odd odor on [urmc.rochester.edu]
Adverse reactions to the antidote itself could include blurred vision, dizziness, headache, fatigue, nausea, difficulty breathing and increased heart rate or blood pressure, the agency said. [medicinenet.com]
- Abdominal Pain
(B) Clinical Signs and Symptoms: Gastrointestinal Symptoms: Nausea and vomiting - acute abdominal pains - diarrhea Vomiting smells like bitter almond - such as in the case of cyanide poisoning - and inorganic phosphorus (garlic odor). [moh.gov.sa]
pain Vomiting, possibly bloody EYES, EARS, NOSE, AND THROAT Drooling Severe pain in the throat Severe pain or burning in the nose, eyes, ears, lips, or tongue Vision loss HEART AND BLOOD Low blood pressure (develops rapidly) Collapse Severe change in [medlineplus.gov]
These symptoms may include : breathing difficulties coughing and wheezing chest tightness blurry vision and watery eyes abdominal pain pain or burning in the nose, mouth, or eyes nausea and vomiting blood in vomit or stools rapid changes in blood pressure [medicalnewstoday.com]
drooling, dysphagia, vomiting, and abdominal pain. [cdc.gov]
Initial symptoms reported by parents whose children were admitted to the paediatric emergency care unit were mainly gastrointestinal (vomiting, abdominal pain) or neurological (impaired consciousness, hypotonia, ataxia, seizure), although cutaneous (rash [ec.europa.eu]
Cardiovascular
- Cyanosis
Respiratory Symptoms: Cough - cyanosis - breathing difficulties in irritant gases and fume poisoning. The normal breathing rate for an adult is 16 times per minute. [moh.gov.sa]
The most common sign and symptoms reported included vomiting and a group of symptoms with coughing or sore throat, shortness of breath (SOB) and cyanosis. [omicsonline.org]
Skin
Musculoskeletal
- Muscle Twitch
[…] control and muscle twitching Paleness (pallor) or flushed or yellowish skin Persistent cough Rapid heart rate Seizures Severe diarrhea Severe nausea Stomach cramps Sweating Thirst Trembling Weakness Severe poisoning symptoms are life threatening and [healthcommunities.com]
Moderate Poisoning Severe nausea, severe diarrhea, excessive saliva, stomach cramps, excessive perspiration, trembling, no muscle coordination and muscle twitches, extreme weakness, mental confusion, blurred vision, difficulty in breathing, cough, rapid [nasdonline.org]
twitching thirst constriction of eye pupils (eye pupils become small) increased rate of breathing Top of Page 16.2 First aid If someone shows any of these symptoms after being exposed to pesticides medical advice should always be sought. [www1.health.gov.au]
- Arthralgia
Weakness and influenza-like symptoms, fever, myalgia, and arthralgia, might also be reported ( 92--95 ). Laboratory Criteria for Diagnosis Biologic. [cdc.gov]
- Muscle Weakness
In severe poisoning, signs and symptoms typically progress rapidly, including parasthesias, a floating sensation, muscle weakness, vertigo, and cranial nerve dysfunction. Respiratory failure and death might occur from paralysis ( 102--106 ). [cdc.gov]
Psychiatrical
- Aggressive Behavior
[…] environmental pollution: miscarriages and spontaneous abortions low birth weight premature births stillbirths birth defects sudden infant death syndrome (SIDS) developmental delays poor motor coordination attention-deficit hyperactivity disorder (ADHD) aggressive [reference.jrank.org]
Neurologic
- Headache
In the first such case heard in court in France, grain grower Paul Francois says he suffered neurological problems including memory loss, headaches and stammering after inhaling Monsanto's Lasso weedkiller in 2004. [commondreams.org]
Adverse reactions to the antidote itself could include blurred vision, dizziness, headache, fatigue, nausea, difficulty breathing and increased heart rate or blood pressure, the agency said. [medicinenet.com]
These adverse effects can range from slight symptoms like headaches or nausea, to severe symptoms like coma and convulsions and death. [pmep.cce.cornell.edu]
Several reported having headaches although their symptoms were not severe as the hospitalised victims. Mohamad Hazrin Mohamad Razali, 39, said he was worried about his children because both of them have asthma. [channelnewsasia.com]
François claimed he suffered from neurological problems, memory loss, headaches and stammering after inadvertently inhaling the herbicide. [ecowatch.com]
- Seizure
Eating laburnum seeds can cause seizures. Drugs, both prescribed or those bought over the counter, can also be harmful if someone takes too many. [sja.org.uk]
Rapid heart rate with low blood pressure Respiratory distress that requires intubation (involves passing a tube down the trachea [windpipe] to the lungs to provide breathing assistance; mechanical respiration [i.e., a ventilator] may be necessary) Seizures [healthcommunities.com]
Other symptoms that might merit a doctor or ER visit with your child can range from vague symptoms such as nausea, coughing or simply not acting right to obvious symptoms like vomiting, a seizure or a burn on the lip or mouth. [ocregister.com]
Symptoms associated with serious poisoning include: being sick dizziness sudden, noticeable heartbeats (palpitations) breathing difficulties uncontrollable restlessness or agitation seizures (fits) drowsiness or loss of consciousness Call NHS 111 for [nhs.uk]
When to suspect poisoning Poisoning signs and symptoms can mimic other conditions, such as seizure, alcohol intoxication, stroke and insulin reaction. [mayoclinic.org]
Treatment
Over the weekend, at least 82 people were hospitalised or sought treatment. [channelnewsasia.com]
It provides an assessment of whether a particular exposure is hazardous and information on the need for treatment and the kind of treatment that should be given. [reference.jrank.org]
Specific treatment plan depends on the type of poison by which a person is affected. Generally speaking, most treatments involve identifying the offending chemical and avoiding future exposures to the offending agent. [encyclopedia.com]
Treatment Options At NorthShore, our Medical Toxicology team will tailor poisoning treatment options based on your symptoms and the type of poison exposure. [northshore.org]
Prognosis
SLIDESHOW Slideshow: 12 Surprising Headache Triggers Tips See Slideshow Poisoning Prognosis The key to a good outcome is rapid recognition that a poisoning has occurred and rapid transport to a qualified medical facility when indicated. [emedicinehealth.com]
Prognosis The outcome of poisoning varies from complete recovery to death, and depends on the type and amount of the poison, the health of the victim, and the speed with which medical care is obtained. [medical-dictionary.thefreedictionary.com]
Prognosis and treatment of paraquat poisoning: a review of 28 cases. J Toxicol Clin Toxicol 1982;19:461--74. Vale JA, Meredith TJ, Buckley BM. Paraquat poisoning: clinical features and immediate general management. Hum Toxicol 1987;6:41--7. [cdc.gov]
Etiology
The case can be confirmed if laboratory testing was not performed because either a predominant amount of clinical and nonspecific laboratory evidence of a particular chemical was present or a 100% certainty of the etiology of the agent is known. [cdc.gov]
For such actions, epidemiology and etiology data are essential for healthcare providers to enable them to take appropriate measures for both prevention and treatment. [omicsonline.org]
Epidemiology
For such actions, epidemiology and etiology data are essential for healthcare providers to enable them to take appropriate measures for both prevention and treatment. [omicsonline.org]
Acute poisoning in Izmir, Turkey a pilot epidemiologic study. Clin Toxicol 1993 ; 31: 593 – 601. Google Scholar Stein MD, Bonanno J, O'sullivan PS, Wachtel TJ. Changes in the pattern of drug overdoses. J Gen Intern Med 1993 ; 8: 179 – 184. [journals.sagepub.com]
We know from field, wildlife, and epidemiology studies that exposures to environmental chemicals are ubiquitous,” the researchers say. ( European estimates put the number of proposed new chemicals worldwide at over 145,000.) [cosmosmagazine.com]
In two publications (Lamireau et al. 2002, Marchi et al. 2004), clinical and epidemiological features of toxic exposures observed in 14 Italian hospitals during 2001 in children under 1 year old were reported. [ec.europa.eu]
Prevention
Suicide prevention Preventing intentional and unintentional deaths from pesticide poisoning Snake-bite is a largely unrecognized public health problem that presents significant challenges for medical management. [who.int]
PREVENT POISONING Prevention measures at home are critical, notes Dr. Minasyan. “You don’t want to keep cleaners and things like that under the kitchen sink. Kids can get into those cabinets easily. [ocregister.com]
Prevention It is possible to prevent chlorine poisoning by handling chlorine-based products with extra care, including: always reading the instructions and following them carefully never mixing chlorine-based chemicals with other products or substances [medicalnewstoday.com]
Injury Prevention 5: 37. Ozanne-Smith J, Day L, Parsons B, Tibballs J, Dobbin M (2001) Childhood poisoning: access and prevention. J Paediatr Child Health 37: 262-265. [omicsonline.org]
"Obviously, we are very concerned this incident has occurred and will do everything we can to find out how it happened, why, and what can be done to prevent it from happening again." [nzherald.co.nz]