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急性硝氯酚中毒导致死产:一例报告

Acute Niclofolan Intoxication Led to Stillbirth: A Case Report.

作者信息

Li Rui Feng, Wang Liang Fen, Zhang Hai Ying, He Meng Jie

机构信息

Department of Clinical Pharmacy, Sichuan Provincial Women's and Children's Hospital/The Affiliated Women's and Children's Hospital of Chengdu Medical College, Chengdu, People's Republic of China.

Department of Pharmacy, 363 hospital, Chengdu, People's Republic of China.

出版信息

Drug Healthc Patient Saf. 2025 Jan 6;17:1-6. doi: 10.2147/DHPS.S491648. eCollection 2025.

DOI:10.2147/DHPS.S491648
PMID:39802747
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11721685/
Abstract

Niclofolan is a commonly used veterinary drug worldwide. We reported a case of acute niclofolan intoxication in a pregnant woman. We recorded in detail her toxic symptoms, including nausea, vomiting, asthenia, blurred vision, and aberrant blood values. Notably stillbirth was recorded for the first time as indicating its human reproductive toxicity. We also found that an oral therapeutic dosage as described in the literature was likely to lead to stillbirth. Furthermore, we described the treatments received by the patient, including critical care, drug therapy, and plasma exchange, the outcomes of which were excellent. By studying this case, we aimed to enhance recognition and treatment of niclofolan intoxication and to raise concern regarding veterinary drug abuse and exposure risk.

摘要

硝氯酚是一种在全球范围内广泛使用的兽药。我们报告了一例孕妇急性硝氯酚中毒病例。我们详细记录了她的中毒症状,包括恶心、呕吐、乏力、视力模糊和异常的血液指标。值得注意的是,首次记录到死产情况,这表明了其对人类的生殖毒性。我们还发现,文献中描述的口服治疗剂量可能会导致死产。此外,我们描述了患者接受的治疗,包括重症监护、药物治疗和血浆置换,治疗效果良好。通过研究该病例,我们旨在提高对硝氯酚中毒的认识和治疗水平,并引起对兽药滥用和暴露风险的关注。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f99/11721685/39f1ea134592/DHPS-17-1-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f99/11721685/39f1ea134592/DHPS-17-1-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f99/11721685/39f1ea134592/DHPS-17-1-g0001.jpg

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本文引用的文献

1
OPTICAL COHERENCE TOMOGRAPHY FINDINGS IN PRESUMED VETERINARY ANTHELMINTIC DRUG-INDUCED RETINAL TOXICITY: A Glimpse into Underlying Mechanism.疑似兽医驱虫药诱导的视网膜毒性的光相干断层扫描结果:潜在机制初探。
Retina. 2024 Aug 1;44(8):1456-1462. doi: 10.1097/IAE.0000000000004128.
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Target and suspect screening analysis reveals persistent emerging organic contaminants in soils and sediments.目标物和疑似物筛选分析揭示了土壤和沉积物中持久性新兴有机污染物的存在。
Sci Total Environ. 2020 Oct 20;740:140181. doi: 10.1016/j.scitotenv.2020.140181. Epub 2020 Jun 13.
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[Anthelmintic Effects Of Various Drugs Against Metagonimiasis].
[多种药物对异形吸虫病的驱虫作用]
Kisaengchunghak Chapchi. 1978 Dec;16(2):117-122. doi: 10.3347/kjp.1978.16.2.117.
4
A Case Of Niclofolan (Bilevon(R)) Intoxication.一例硝氯酚(拜耳驱蛔灵)中毒病例。
Kisaengchunghak Chapchi. 1982 Jun;20(1):49-52. doi: 10.3347/kjp.1982.20.1.49.
5
[Pathology of migrants: paragonimiasis (or pulmonary distomatosis)].
Bull Soc Pathol Exot Filiales. 1981 Jan-Feb;74(1):84-91.
6
[Epidemiologic and clinical study of paragonimosis in Cameroon. Results of niclofolan treatment].[喀麦隆并殖吸虫病的流行病学和临床研究。硝氯酚治疗结果]
Bull Soc Pathol Exot Filiales. 1981 May-Jun;74(3):319-31.
7
Treatment of human fascioliasis with niclofolan.
Gastroenterology. 1981 Oct;81(4):795-8.
8
[Preliminary observation on the treatment of paragonimiasis westermani (thoracic type) with domestic niclofolan in 26 cases (author's transl)].国产硝氯酚治疗26例卫氏并殖吸虫病(胸肺型)的初步观察(作者译)
Zhonghua Nei Ke Za Zhi. 1980 May;19(3):226-9.
9
Pulmonary paragonimiasis in Cameroon.喀麦隆的肺吸虫病
Trans R Soc Trop Med Hyg. 1982;76(6):768-72. doi: 10.1016/0035-9203(82)90102-x.
10
Studies on the chemotherapy of human opisthorchiasis: II. Clinical trial of niclofolan.人体后睾吸虫病化疗研究:II. 硝氯酚的临床试验。
Southeast Asian J Trop Med Public Health. 1981 Mar;12(1):107-9.