Case Series: Organophosphate Contamination of Camel’s Mammary Glands Affects Human Health
In this case series, we present 2 cases of previously healthy farmers, who presented with symptoms of a cholinergic crisis that developed several hours after ingestion of camel milk. The initial case was treated with supportive medical care without using antidote as no history of direct exposure to...
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| Format: | Article |
| Language: | English |
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Knowledge E
2020-09-01
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| Series: | Dubai Medical Journal |
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| Online Access: | https://www.karger.com/Article/FullText/510263 |
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| author | Maryam Saif Al Ali Jasem Al Shamsi Saweera Sabbar |
| author_facet | Maryam Saif Al Ali Jasem Al Shamsi Saweera Sabbar |
| author_sort | Maryam Saif Al Ali |
| collection | DOAJ |
| description | In this case series, we present 2 cases of previously healthy farmers, who presented with symptoms of a cholinergic crisis that developed several hours after ingestion of camel milk. The initial case was treated with supportive medical care without using antidote as no history of direct exposure to pesticides was available.The second case presented with symptoms of cholinergic crisis that developed several hours after the ingestion of camel milk. Clinical features included slurred speech, headache, vomiting, diarrhea, frequent micturition, muscle fasciculation, chest discomfort, and atrial fibrillation. The patient developed bradycardia that responded to intravenous atropine. Routine investigations were unremarkable, but acetylcholinesterase and pseudocholinesterase levels were both low. The patient was managed with intravenous fluids, analgesia, atropine, and pralidoxime, which were administered when he developed respiratory symptoms secondary to excessive secretions. The following day, the patient was asymptomatic and discharged. On the medical history, the patient denied any other ingestion including food and drink or potential organophosphate exposure on the day of symptom onset. Application of organophosphate pesticides to the mammary glands of camels has been used for many decades against Sarcoptes scabei cameli, a mite that causes a dermal infestation in camels similar to human scabies infections. |
| format | Article |
| id | doaj-art-aafdedfc4dab4f33b158fa9de43a8b0e |
| institution | DOAJ |
| issn | 2571-726X |
| language | English |
| publishDate | 2020-09-01 |
| publisher | Knowledge E |
| record_format | Article |
| series | Dubai Medical Journal |
| spelling | doaj-art-aafdedfc4dab4f33b158fa9de43a8b0e2025-08-20T02:42:52ZengKnowledge EDubai Medical Journal2571-726X2020-09-011310.1159/000510263510263Case Series: Organophosphate Contamination of Camel’s Mammary Glands Affects Human HealthMaryam Saif Al AliJasem Al ShamsiSaweera SabbarIn this case series, we present 2 cases of previously healthy farmers, who presented with symptoms of a cholinergic crisis that developed several hours after ingestion of camel milk. The initial case was treated with supportive medical care without using antidote as no history of direct exposure to pesticides was available.The second case presented with symptoms of cholinergic crisis that developed several hours after the ingestion of camel milk. Clinical features included slurred speech, headache, vomiting, diarrhea, frequent micturition, muscle fasciculation, chest discomfort, and atrial fibrillation. The patient developed bradycardia that responded to intravenous atropine. Routine investigations were unremarkable, but acetylcholinesterase and pseudocholinesterase levels were both low. The patient was managed with intravenous fluids, analgesia, atropine, and pralidoxime, which were administered when he developed respiratory symptoms secondary to excessive secretions. The following day, the patient was asymptomatic and discharged. On the medical history, the patient denied any other ingestion including food and drink or potential organophosphate exposure on the day of symptom onset. Application of organophosphate pesticides to the mammary glands of camels has been used for many decades against Sarcoptes scabei cameli, a mite that causes a dermal infestation in camels similar to human scabies infections.https://www.karger.com/Article/FullText/510263organophosphatepesticidescholinergic toxicitycamel milk |
| spellingShingle | Maryam Saif Al Ali Jasem Al Shamsi Saweera Sabbar Case Series: Organophosphate Contamination of Camel’s Mammary Glands Affects Human Health Dubai Medical Journal organophosphate pesticides cholinergic toxicity camel milk |
| title | Case Series: Organophosphate Contamination of Camel’s Mammary Glands Affects Human Health |
| title_full | Case Series: Organophosphate Contamination of Camel’s Mammary Glands Affects Human Health |
| title_fullStr | Case Series: Organophosphate Contamination of Camel’s Mammary Glands Affects Human Health |
| title_full_unstemmed | Case Series: Organophosphate Contamination of Camel’s Mammary Glands Affects Human Health |
| title_short | Case Series: Organophosphate Contamination of Camel’s Mammary Glands Affects Human Health |
| title_sort | case series organophosphate contamination of camel s mammary glands affects human health |
| topic | organophosphate pesticides cholinergic toxicity camel milk |
| url | https://www.karger.com/Article/FullText/510263 |
| work_keys_str_mv | AT maryamsaifalali caseseriesorganophosphatecontaminationofcamelsmammaryglandsaffectshumanhealth AT jasemalshamsi caseseriesorganophosphatecontaminationofcamelsmammaryglandsaffectshumanhealth AT saweerasabbar caseseriesorganophosphatecontaminationofcamelsmammaryglandsaffectshumanhealth |