TY  - JOUR
PY  - 2018//
TI  - 2,4-D poisoning: a review with illustration of two cases
JO  - Tropical doctor
A1  - Pannu, Ashok Kumar
A1  - Saroch, Atul
A1  - Agrawal, Jatin
A1  - Sharma, Navneet
SP  - 366
EP  - 368
VL  - 48
IS  - 4
N2  - 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>
LA  - en
SN  - 0049-4755
UR  - http://dx.doi.org/10.1177/0049475518786834
ID  - ref1
ER  -