1887

n South African Medical Journal - Does the nose know? Amitraz poisoning and olfaction : scientific letter

Volume 102, Issue 4
  • ISSN : 0256-9574
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Abstract

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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/content/m_samj/102/4/EJC118929
2012-04-01
2016-12-10

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