Correspondence

Systematic review of clinical manifestations, management and outcome following accidental ingestion of liquid mosquito repellent vaporiser in children

“…Moreover, they have the potential to enhance the absorption of pyrethroids, consequently amplifying their toxic effects. These concerns have been reported by Chandelia S. et al 13 There are documented instances of fatal respiratory symptoms occurring even with the ingestion of small quantities of these compounds. 24 37 Consequently,…”

“…This review included 12 records of 61 patients who met the stipulated inclusion criteria. 13–15 22–30 Predominantly, these records consisted of case reports from diverse regions: India (n=9), China (n=2) and the United Arab Emirates (n=1). Patient ages ranged between 11 and 50 months, with isolated instance in individual aged 14 years.…”

“…These concerns have been reported by Chandelia S. et al . 13 There are documented instances of fatal respiratory symptoms occurring even with the ingestion of small quantities of these compounds. 24 37 Consequently, LMRV poisoning should be considered analogous to hydrocarbon solvent poisoning, as it warrants a regimen of supportive and symptomatic management.…”

“…As a result, two types of effects can occur: those caused by the pyrethroid component and those caused by the hydrocarbon solvent. [12][13][14] Despite their efficacy in mitigating mosquito-borne diseases, concerns persist regarding the potential hazards associated with mosquito repellents, particularly in cases of accidental ingestion or improper usage. 2 5 15 According to the 38th annual report of the National Poison Data System, there were more than 19 191 reported cases of pyrethroid exposure in the USA in 2020, 3765 (approximately 20%) of which involved children under the age of 5.…”