A clinical warning in the treatment of chlorfenapyr poisoning

Chlorfenapyr, an arylpyrrole-based insecticide, disrupts mitochondrial oxidative phosphorylation to deprive the target organism of energy. Chlorfenapyr poisoning in humans causes distinct clinical signs such as hyperhidrosis, malignant hyperthermia, rhabdomyolysis, and delayed neurological symptoms...

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Main Authors: Yuelei Cheng, Yunlai Zhao, Hao Li, Minmin Duan, Lianxiang Li, Song Zhou, Qingbin Tang, Wei Xie, Jixue Shi
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Toxicology Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214750024000866
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author Yuelei Cheng
Yunlai Zhao
Hao Li
Minmin Duan
Lianxiang Li
Song Zhou
Qingbin Tang
Wei Xie
Jixue Shi
author_facet Yuelei Cheng
Yunlai Zhao
Hao Li
Minmin Duan
Lianxiang Li
Song Zhou
Qingbin Tang
Wei Xie
Jixue Shi
author_sort Yuelei Cheng
collection DOAJ
description Chlorfenapyr, an arylpyrrole-based insecticide, disrupts mitochondrial oxidative phosphorylation to deprive the target organism of energy. Chlorfenapyr poisoning in humans causes distinct clinical signs such as hyperhidrosis, malignant hyperthermia, rhabdomyolysis, and delayed neurological symptoms that worsen over time and can be fatal. When treating acute chlorfenapyr poisoning, physicians must consider the latent period and not assume that a patient is safe after an initial response to treatment. It is important to take measures before sudden, fatal symptoms appear. This paper presents three cases of chlorfenapyr poisoning as a warning for physicians to understand its clinical course and treatment.
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series Toxicology Reports
spelling doaj-art-5814eb618a314435b0fa9a74d6f5cad82024-12-19T10:54:28ZengElsevierToxicology Reports2214-75002024-12-0113101703A clinical warning in the treatment of chlorfenapyr poisoningYuelei Cheng0Yunlai Zhao1Hao Li2Minmin Duan3Lianxiang Li4Song Zhou5Qingbin Tang6Wei Xie7Jixue Shi8Department of Emergency, Central Hospital Affiliated to Shandong First Medical University, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, ChinaDepartment of Emergency, Central Hospital Affiliated to Shandong First Medical University, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, ChinaDepartment of Emergency, The Second Affiliated Hospital of Shandong First Medical University, Tai'an, ChinaDepartment of Emergency, Central Hospital Affiliated to Shandong First Medical University, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, ChinaDepartment of Emergency, Central Hospital Affiliated to Shandong First Medical University, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, ChinaDepartment of Emergency, Central Hospital Affiliated to Shandong First Medical University, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, ChinaDepartment of Emergency, Central Hospital Affiliated to Shandong First Medical University, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, ChinaDepartment of Emergency, Central Hospital Affiliated to Shandong First Medical University, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, China; Corresponding author.Department of Emergency, The Second Affiliated Hospital of Shandong First Medical University, Tai'an, ChinaChlorfenapyr, an arylpyrrole-based insecticide, disrupts mitochondrial oxidative phosphorylation to deprive the target organism of energy. Chlorfenapyr poisoning in humans causes distinct clinical signs such as hyperhidrosis, malignant hyperthermia, rhabdomyolysis, and delayed neurological symptoms that worsen over time and can be fatal. When treating acute chlorfenapyr poisoning, physicians must consider the latent period and not assume that a patient is safe after an initial response to treatment. It is important to take measures before sudden, fatal symptoms appear. This paper presents three cases of chlorfenapyr poisoning as a warning for physicians to understand its clinical course and treatment.http://www.sciencedirect.com/science/article/pii/S2214750024000866ChlorfenapyrInsecticideNeurologic symptomologyPoisoningWarning
spellingShingle Yuelei Cheng
Yunlai Zhao
Hao Li
Minmin Duan
Lianxiang Li
Song Zhou
Qingbin Tang
Wei Xie
Jixue Shi
A clinical warning in the treatment of chlorfenapyr poisoning
Toxicology Reports
Chlorfenapyr
Insecticide
Neurologic symptomology
Poisoning
Warning
title A clinical warning in the treatment of chlorfenapyr poisoning
title_full A clinical warning in the treatment of chlorfenapyr poisoning
title_fullStr A clinical warning in the treatment of chlorfenapyr poisoning
title_full_unstemmed A clinical warning in the treatment of chlorfenapyr poisoning
title_short A clinical warning in the treatment of chlorfenapyr poisoning
title_sort clinical warning in the treatment of chlorfenapyr poisoning
topic Chlorfenapyr
Insecticide
Neurologic symptomology
Poisoning
Warning
url http://www.sciencedirect.com/science/article/pii/S2214750024000866
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