• Arch Intern Med · Jan 1994

    Review Case Reports

    Aldicarb poisoning. A case report with prolonged cholinesterase inhibition and improvement after pralidoxime therapy.

    • J L Burgess, J N Bernstein, and K Hurlbut.
    • Section of Emergency Medicine, University of Arizona Health Sciences Center, Tucson.
    • Arch Intern Med. 1994 Jan 24; 154 (2): 221-4.

    AbstractAldicarb is the most potent of the commercially available carbamate pesticides and is an unusual source of acute human poisonings. We present the case of a 43-year-old man exposed to aldicarb who developed severe cholinergic symptoms and progressive weakness requiring intubation for 5 days. Both his red blood cell cholinesterase and plasma pseudocholinesterase levels were depressed for a minimum of 44 hours. He demonstrated neuromuscular improvement concurrent with pralidoxime administration. The pertinent medical literature on aldicarb poisoning is reviewed.

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