Pushnoy L A, Avnon L S, Carel R S
Department of Occupational Medicine, Soroka Medical Center, Faculty of Health Sciences, Ben Gurion University, Beer-Sheva, Israel.
Chest. 1998 Dec;114(6):1769-71. doi: 10.1378/chest.114.6.1769.
A case of acute intoxication presented as toxic pneumonitis after exposure to Roundup (glyphosate) (Solaris Group, Monsanto; San Ramon, CA) herbicide in an agriculture worker. The correct etiologic factor causing this specific clinical picture was identified only 2 weeks later, after a thorough occupational history was taken and meticulous delineation of the working conditions and exposures of the involved worker were made. As a rule, occupational related diseases are not readily elucidated by nonoccupational physicians. However, most acute intoxication events are first encountered by such physicians. In these situations, rapid and comprehensive evaluation is necessary in order to clearly identify the causative agent(s) and to initiate the appropriate treatment. Consulting occupational physicians at this early stage may facilitate early and accurate diagnosis.
一名农业工人接触农达(草甘膦)(孟山都公司,加利福尼亚州圣拉蒙市索拉里斯集团)除草剂后出现急性中毒,表现为中毒性肺炎。在详细询问职业病史并仔细描述该患病工人的工作条件和接触情况后,两周后才确定导致这种特定临床表现的确切病因。通常,非职业医生不容易明确职业相关疾病。然而,大多数急性中毒事件首先是由这类医生遇到的。在这些情况下,为了明确确定致病因素并开始适当治疗,进行快速而全面的评估是必要的。在早期阶段咨询职业医生可能有助于早期准确诊断。