Home Use of a Pyrethroid-Containing Pesticide and Facial Paresthesia in a Toddler: A Case Report
Autor: | Alexandra Perkins, Jennifer S. Sievert, Barbara Morrissey, Blaine Rhodes, Frederick Walters, Catherine J. Karr |
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Rok vydání: | 2016 |
Předmět: |
medicine.medical_specialty
Health Toxicology and Mutagenesis Specialty lcsh:Medicine Case Report Facial paresthesia 010501 environmental sciences 01 natural sciences paresthesia 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine medicine 030212 general & internal medicine Toddler pesticide 0105 earth and related environmental sciences child Pyrethroid pyrethroid business.industry Public health lcsh:R insecticide Public Health Environmental and Occupational Health Environmental exposure Pesticide medicine.disease Facial paralysis 3. Good health Surgery pediatric chemistry biomonitoring Emergency medicine business |
Zdroj: | International Journal of Environmental Research and Public Health, Vol 13, Iss 8, p 829 (2016) International Journal of Environmental Research and Public Health |
ISSN: | 1660-4601 |
Popis: | Paresthesias have previously been reported among adults in occupational and non-occupational settings after dermal contact with pyrethroid insecticides. In this report, we describe a preverbal 13-month-old who presented to his primary care pediatrician with approximately 1 week of odd facial movements consistent with facial paresthesias. The symptoms coincided with a period of repeat indoor spraying at his home with a commercially available insecticide containing two active ingredients in the pyrethroid class. Consultation by the Northwest Pediatric Environmental Health Specialty Unit and follow-up by the Washington State Department of Health included urinary pyrethroid metabolite measurements during and after the symptomatic period, counseling on home clean up and use of safer pest control methods. The child’s symptoms resolved soon after home cleanup. A diagnosis of pesticide-related illness due to pyrethroid exposure was made based on the opportunity for significant exposure (multiple applications in areas where the child spent time), supportive biomonitoring data, and the consistency and temporality of symptom findings (paresthesias). This case underscores the vulnerability of children to uptake pesticides, the role of the primary care provider in ascertaining an exposure history to recognize symptomatic illness, and the need for collaborative medical and public health efforts to reduce significant exposures in children. |
Databáze: | OpenAIRE |
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