@article{ref1,
title="Cypermethrin poisoning manifesting with prolonged bradycardia: a case report",
journal="Toxicology reports",
year="2021",
author="Shilpakar, Olita and Karki, Bipin",
volume="8",
number="",
pages="10-12",
abstract="Pyrethrins and their synthetic derivatives known as pyrethroids are highly effective  insecticides used worldwide in the agricultural fields and households. Cypermethrin  is a type II pyrethroid which acts primarily by delaying the closure of  voltage-sensitive sodium channels at higher concentrations. Its toxicity in humans  occur due to accidental or intentional exposure through inhalation, skin contact or  via ingestion. Acute oral intoxication of cypermethrin commonly manifests with  neurotoxic and gastrointestinal effects in humans. Cardiotoxic effects following  ingestion of this compound have occurred in a few cases but underreported to date. This case highlights a case of intentional cypermethrin poisoning with acute effects  in the form of prolonged bradycardia symptomatically managed with a muscarinic  antagonist like atropine sulphate.<p /> <p>Language: en</p>",
language="en",
issn="2214-7500",
doi="10.1016/j.toxrep.2020.12.005",
url="http://dx.doi.org/10.1016/j.toxrep.2020.12.005"
}