Effects of bromadiolone poisoning on the central nervous system

Meiling Wang,1 Yanfeng Yang,2 Yiwei Hou,1 Wenbin Ma,1 Rui Jia,1 Jinbo Chen1 1Neurology Department, Binzhou Medical University Hospital, Binzhou Medical University, 2Binzhou Blood Center, Binzhou, China Abstract: Cases of rodenticide poisoning (second-generation long-acting dicoumarin rode...

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Autores principales: Wang M, Yang Y, Hou Y, Ma W, Jia R, Chen J
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Publicado: Dove Medical Press 2017
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spelling oai:doaj.org-article:8e4d2eb61d3c4fe980ec10d0d8da16e42021-12-02T01:17:55ZEffects of bromadiolone poisoning on the central nervous system1178-2021https://doaj.org/article/8e4d2eb61d3c4fe980ec10d0d8da16e42017-08-01T00:00:00Zhttps://www.dovepress.com/effects-of-bromadiolone-poisoning-on-the-central-nervous-system-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Meiling Wang,1 Yanfeng Yang,2 Yiwei Hou,1 Wenbin Ma,1 Rui Jia,1 Jinbo Chen1 1Neurology Department, Binzhou Medical University Hospital, Binzhou Medical University, 2Binzhou Blood Center, Binzhou, China Abstract: Cases of rodenticide poisoning (second-generation long-acting dicoumarin rodenticide, superwarfarin) have occasionally been reported. The main symptoms of bromadiolone poisoning are skin mucosa hemorrhage, digestive tract hemorrhage, and hematuresis. However, the symptoms of central nervous system toxicity have rarely been reported. Our case reports on a 41-year-old male who had no contact with bromadiolone. His main symptoms were dizziness, unsteady gait, and abnormal behavior. Laboratory test results revealed the presence of bromadiolone in his blood and urine, a longer prothrombin time, activated partial thromboplastin time, and a high international normalized ratio. Magnetic resonance imaging of the brain showed that the bilateral posterior limb of the internal capsule, splenium of corporis callosum, and bilateral centrum semiovale formed symmetrical patch distribution. The patient gradually recovered after treated with vitamin K1 and plasma transfusion. Our clinical study could pave the way to improve the detection of bromadiolone poisoning and avoid misdiagnosis. Keywords: bromadiolone, poisoning, central nervous system, superwarfarinWang MYang YHou YMa WJia RChen JDove Medical PressarticleBromadiolonepoisoningcentral nervous systemsuperwarfarinNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 13, Pp 2297-2300 (2017)
institution DOAJ
collection DOAJ
language EN
topic Bromadiolone
poisoning
central nervous system
superwarfarin
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Bromadiolone
poisoning
central nervous system
superwarfarin
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Wang M
Yang Y
Hou Y
Ma W
Jia R
Chen J
Effects of bromadiolone poisoning on the central nervous system
description Meiling Wang,1 Yanfeng Yang,2 Yiwei Hou,1 Wenbin Ma,1 Rui Jia,1 Jinbo Chen1 1Neurology Department, Binzhou Medical University Hospital, Binzhou Medical University, 2Binzhou Blood Center, Binzhou, China Abstract: Cases of rodenticide poisoning (second-generation long-acting dicoumarin rodenticide, superwarfarin) have occasionally been reported. The main symptoms of bromadiolone poisoning are skin mucosa hemorrhage, digestive tract hemorrhage, and hematuresis. However, the symptoms of central nervous system toxicity have rarely been reported. Our case reports on a 41-year-old male who had no contact with bromadiolone. His main symptoms were dizziness, unsteady gait, and abnormal behavior. Laboratory test results revealed the presence of bromadiolone in his blood and urine, a longer prothrombin time, activated partial thromboplastin time, and a high international normalized ratio. Magnetic resonance imaging of the brain showed that the bilateral posterior limb of the internal capsule, splenium of corporis callosum, and bilateral centrum semiovale formed symmetrical patch distribution. The patient gradually recovered after treated with vitamin K1 and plasma transfusion. Our clinical study could pave the way to improve the detection of bromadiolone poisoning and avoid misdiagnosis. Keywords: bromadiolone, poisoning, central nervous system, superwarfarin
format article
author Wang M
Yang Y
Hou Y
Ma W
Jia R
Chen J
author_facet Wang M
Yang Y
Hou Y
Ma W
Jia R
Chen J
author_sort Wang M
title Effects of bromadiolone poisoning on the central nervous system
title_short Effects of bromadiolone poisoning on the central nervous system
title_full Effects of bromadiolone poisoning on the central nervous system
title_fullStr Effects of bromadiolone poisoning on the central nervous system
title_full_unstemmed Effects of bromadiolone poisoning on the central nervous system
title_sort effects of bromadiolone poisoning on the central nervous system
publisher Dove Medical Press
publishDate 2017
url https://doaj.org/article/8e4d2eb61d3c4fe980ec10d0d8da16e4
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