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A Perpetual Silent Menace Among Children in Developing Countries—A Case Report

Shashidhara, Sowmya, MD*; Mundkur, Suneel C., DCH, DNB*; Hebbar, Shrikiran A., DCH, MD*; Kumar, Ashwini, MD; Sambasivan, Vaisakh, MBBS*

doi: 10.1097/PEC.0000000000001247
Illustrative Case: PDF Only

Amitraz is an acaricide and insecticide used to treat ticks, which infest domestic animals in developing countries. Because of its widespread use, it is one of the common poisons unintentionally consumed by infants and children when left unsupervised. A 3-year-old boy was brought with unintentional consumption of Amitraz. On examination, he was found to be progressively drowsy, with an irregular pulse, bradycardia, and hypotension. He was treated with atropine, intravenous fluids, and dopamine infusion; hemodynamic stability was achieved within 36 hours after ingestion. Amitraz is an unusual but deadly poison unintentionally consumed by children. It can be suspected in the setting of rural households in developing countries having pets. There is no antidote available, and treatment is mainly supportive.

From the Departments of *Pediatrics and †Forensic Medicine, Kasturba Medical College, Manipal University, Manipal, India.

Conflict of interest: None.

Reprints: Suneel C. Mundkur, DCH, DNB, Department of Pediatrics, Women and Child Block, Kasturba Medical College, Manipal University, Madhav Nagar, Manipal 576104, India (e-mail:

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