2019
DOI: 10.2169/internalmedicine.2562-18
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Decrease in Butyrylcholinesterase Accompanied by Intermediate-like Syndrome after Massive Ingestion of a Glyphosate-surfactant

Abstract: An 86-year-old woman intentionally drank approximately 300 mL of a glyphosate-surfactant. She was found with consciousness disturbance and experienced several vomiting episodes. On arrival, serum biochemistry revealed a decreased level of butyrylcholinesterase (B-CHE) [11 (normal range: 180-450) IU/L]. Later, her B-CHE level further decreased to single-digit values, and she became comatose with involuntary movement and an increase in muscle tone. Her consciousness level and muscle tone improved with the recove… Show more

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Cited by 3 publications
(1 citation statement)
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“…El-Demerdash et al El-Demerdash, et al [58] reported an IC 50 value of 714.3 mM (~120 g/L) to human serum AChE exposed to GLY; a concentration significantly higher than the ones here tested and far above GLY concentrations found in human serum [3]. Concerning BChE, a case study involving a patient that ingested a GLY-based herbicide revealed a decrease in serum levels of BChE [59], while in an assay using a freshwater fish species (Labeo rohita) exposed to Roundup ® , an increase in BChE level was observed and correlated to a potential detoxification activity [60]. Other species, such as toads, have been shown to present inhibition of BChE activity when exposed to GLY-based herbicides [61].…”
Section: Pesticide-induced Cholinesterase Inhibitionmentioning
confidence: 58%
“…El-Demerdash et al El-Demerdash, et al [58] reported an IC 50 value of 714.3 mM (~120 g/L) to human serum AChE exposed to GLY; a concentration significantly higher than the ones here tested and far above GLY concentrations found in human serum [3]. Concerning BChE, a case study involving a patient that ingested a GLY-based herbicide revealed a decrease in serum levels of BChE [59], while in an assay using a freshwater fish species (Labeo rohita) exposed to Roundup ® , an increase in BChE level was observed and correlated to a potential detoxification activity [60]. Other species, such as toads, have been shown to present inhibition of BChE activity when exposed to GLY-based herbicides [61].…”
Section: Pesticide-induced Cholinesterase Inhibitionmentioning
confidence: 58%