TY  - JOUR
PY  - 2010//
TI  - Non-accidental chlorpyrifos poisoning-an unusual cause of profound unconsciousness
JO  - European journal of pediatrics
A1  - Lee, James Chun-I
A1  - Lin, Kuang-Lin
A1  - Lin, Jin-Jia
A1  - Hsia, Shao-Hsuan
A1  - Wu, Chang-Teng
SP  - 509
EP  - 511
VL  - 169
IS  - 4
N2  - Chlorpyrifos is an organophosphorus anticholinesterase insecticide, and organophosphate intoxication can induce symptoms such as miosis, urination, diarrhea, diaphoresis, lacrimation, excitation of central nervous system, salivation, and consciousness disturbance (MUDDLES). Although accidental poisoning of children with drugs and chemicals is a common cause for consciousness disturbance in children, the possibility of deliberate poisoning is rarely considered. We report on a healthy 5-year 6-month-old boy with recurrent organophosphate intoxication. Reports of chlorpyrifos intoxication in children are quite rare. This case report demonstrates decision-making process and how to disclose deliberate chlorpyrifos poisoning of the toddler by the stepmother, another example of Munchausen syndrome by proxy.<p />  <p>Language: en</p>
LA  - en
SN  - 0340-6199
UR  - http://dx.doi.org/10.1007/s00431-009-1054-5
ID  - ref1
ER  -