Cardiogenic shock with first-degree heart block in a patient with glyphosate-surfactant poisoning

Soumitra Ghosh; Sudheer Tale; Mrudula Kolli; Sumanpreet Kaur; Anil Garbhapu; Ashish Bhalla

doi:10.1177/0049475520971594

Cardiogenic shock with first-degree heart block in a patient with glyphosate-surfactant poisoning

Trop Doct. 2021 Apr;51(2):244-246. doi: 10.1177/0049475520971594. Epub 2020 Nov 26.

Authors

Soumitra Ghosh¹, Sudheer Tale¹, Mrudula Kolli, Sumanpreet Kaur, Anil Garbhapu¹, Ashish Bhalla²

Affiliations

¹ Senior Resident, Department of Medicine, 29751Post Graduate Institute of Medical Education and Research, Chandigarh, India.
² Professor, Department of Medicine, 29751Post Graduate Institute of Medical Education and Research, Chandigarh, India.

PMID: 33241735
DOI: 10.1177/0049475520971594

Abstract

Glyphosate is a commonly used non-selective herbicide in agriculture and aquafarms. Gastrointestinal, respiratory and cardiovascular symptoms are predominant manifestations of glyphosate poisoning. Cardiac dysfunction should be kept as a possibility in patients presenting with shock, and the treatment is mainly supportive. We present such a case.

Keywords: Glyphosate-surfactant poisoning; cardiogenic shock; myocardial dysfunction.

Publication types

Case Reports

MeSH terms

Adult
Glycine / analogs & derivatives*
Glycine / poisoning
Glyphosate
Heart Block / diagnosis
Heart Block / etiology*
Heart Block / physiopathology
Heart Block / therapy
Herbicides / poisoning*
Humans
Male
Shock, Cardiogenic / diagnosis
Shock, Cardiogenic / etiology*
Shock, Cardiogenic / physiopathology
Shock, Cardiogenic / therapy
Surface-Active Agents / poisoning*

Substances

Herbicides
Surface-Active Agents
Glycine