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Title of Journal: Eur J Pediatr

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Abbravation: European Journal of Pediatrics

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Springer-Verlag

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10.1007/s10649-015-9624-0

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1432-1076

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Nonaccidental chlorpyrifos poisoning—an unusual c

Authors: JiunChang Lee KuangLin Lin JainnJim Lin ShaoHsuan Hsia ChangTeng Wu
Publish Date: 2009/09/08
Volume: 169, Issue: 4, Pages: 509-511
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Abstract

Chlorpyrifos is an organophosphorus anticholinesterase insecticide and organophosphate intoxication can induce symptoms such as miosis urination diarrhea diaphoresis lacrimation excitation of central nervous system salivation and consciousness disturbance MUDDLES Although accidental poisoning of children with drugs and chemicals is a common cause for consciousness disturbance in children the possibility of deliberate poisoning is rarely considered We report on a healthy 5year 6monthold boy with recurrent organophosphate intoxication Reports of chlorpyrifos intoxication in children are quite rare This case report demonstrates decisionmaking process and how to disclose deliberate chlorpyrifos poisoning of the toddler by the stepmother another example of Munchausen syndrome by proxy

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