J Korean Soc Emerg Med.
2004 Jun;15(3):205-207.
Death from Ingestion of beta-fluoroethyl Acetate Rodenticide
- Affiliations
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- 1Department of Emergency Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. sikyoung@catholic.ac.kr
Abstract
- The highly toxic sodium monofluoroacetate (SMFA) was banned as a rodenticide in this country in the 1980s. The fluoroacetate metabolite, fluorocitric acid blocks cellular metabolism by inhibiting the Klebs cycle, producing widespread clinical effects including respiratory, neurologic, cardiologic, and fluid-electrolyte abnormalities. We report the case of intentional ingestion of a derivative product, beta-fluoroethyl acetate. A 79-yr-old female was brought to the emergency room without any problem. At 2hours post ingestion, she had a generalized tonic-clonic seizure and then, was unresponsive to painful stimuli. At 6hours post ingestion, she died from refractory ventricular fibrillation. We report this patient to increase awareness of beta-fluoroethylacetate toxicity.
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