@article{ref1,
title="2,4-D poisoning: a review with illustration of two cases",
journal="Tropical doctor",
year="2018",
author="Pannu, Ashok Kumar and Saroch, Atul and Agrawal, Jatin and Sharma, Navneet",
volume="48",
number="4",
pages="366-368",
abstract="2,4-D (2,4-dichlorphenoxyacetic acid) is a chlorphenoxy group pesticide. Its relative safety and broad leaf selectivity makes it a favourite herbicide of many home gardeners and agricultural workers. Severe systemic toxicity requiring hospital admission and intensive care usually occurs following intentional oral ingestion. 2,4-D poisoning is an under-recognised cause of a potentially lethal toxic syndrome, especially in low- and middle-income countries, where such compounds are widely used in farming and readily available in households. It warrants close monitoring and high-quality supportive care along with plasma alkalinisation or extracorporeal removal of the toxin.  We present a short review on 2,4-D poisoning and describe two illustrative cases with significant oral ingestion resulted in early and rapidly developing systemic toxicity. Both patients were admitted to the intensive care unit; one patient was managed with alkaline diuresis and other case required three sessions of haemodialysis.<p /> <p>Language: en</p>",
language="en",
issn="0049-4755",
doi="10.1177/0049475518786834",
url="http://dx.doi.org/10.1177/0049475518786834"
}