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Case Studies | Paediatrics | India | Volume 12 Issue 6, June 2023 | Popularity: 4.6 / 10

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A Case of 2, 4-D (Ethyl Ester) Poisoning Presenting Similar to Organophosphorus Poisoning - A Diagnostic Challenge

Dr. Aditya M. S, Dr. Ravleen Kaur, Dr. Navendu Chaudhary, Dr. Anju, Dr Shreya Sharma

Abstract: 2, 4-Dichlorophenoxyacetic acid (2, 4-D). is a commonly available herbicide seen across North India. Although commonly used as a herbicide, instances of its poisoning and toxicity remain rare and survival rates among reported cases are small. Ingestion of this compound remains a diagnostic challenge due to the overlap of symptoms with Organophosphorus poisoning. Although the presentation might remain similar, treatment modalities and outcomes vary. A search of case reports available revealed the highly toxic nature of the compound with reports indicating pulmonary, renal and neurological side effects [1]. We here report of a 17-year-old female who presented with ingestion of an unknown poison that was initially treated as a case of Organophosphorus poisoning but eventually turned out to be 2, 4-Dichlorophenoxyacetic acid poisoning. The overlap of certain presenting symptoms and lack of awareness of ingested substance led to the initial therapeutic dilemma. This case was managed symptomatically and a trial of forced alkaline diuresis was carried out.

Keywords: Poisoning, Organophosphorous, 2, 4-D (ethyl ester), Alkaline diuresis

Edition: Volume 12 Issue 6, June 2023

Pages: 1372 - 1373

DOI: https://www.doi.org/10.21275/SR23607230005

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