n South African Medical Journal - Does the nose know? Amitraz poisoning and olfaction : scientific letter
|Article Title||Does the nose know? Amitraz poisoning and olfaction : scientific letter|
|© Publisher:||Health and Medical Publishing Group (HMPG)|
|Journal||South African Medical Journal|
|Affiliations||1 Walter Sisulu University and 2 Rhodes University|
|Publication Date||Apr 2012|
|Pages||223 - 224|
The initial clinical presentation of amitraz and organophosphate poisoning may be similar. Reduced serum pseudocholinesterase supports a diagnosis of organophosphate toxicity, but there is no similar laboratory test for amitraz poisoning. A 'mothball-like' odour associated with poisoned patients may have diagnostic potential. In a blinded controlled trial, 83% (95% confidence interval, 63 - 93%) of 23 healthcare workers were able to distinguish between the odours of amitraz and organophosphates. Awareness of this simple component of bedside examination may allow earlier recognition of this potentially fatal poisoning.
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