Aldicarb Poisoning

Authors:
  • JBJefferey L. Burgess
    Jefferey L. Burgess
  • JBJeffrey N. Bernstein
    Jeffrey N. Bernstein
  • KHKatherine Hurlbut
    Katherine Hurlbut
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Abstract
Aldicarb 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. (Arch Intern Med. 1994;154:221-224)

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