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Open AccessCase Report
Int. J. Environ. Res. Public Health 2016, 13(8), 829; doi:10.3390/ijerph13080829

Home Use of a Pyrethroid-Containing Pesticide and Facial Paresthesia in a Toddler: A Case Report

1
Department of Environmental and Occupational Health Sciences, University of Washington, Seattle, WA 98105, USA
2
Northwest Pediatric Environmental Health Specialty Unit, Seattle, WA 98105, USA
3
Bainbridge Pediatrics, Bainbridge Island, WA 98110, USA
4
Washington State Department of Health, P.O. Box 47825, Olympia, WA 98504, USA
5
Department of Pediatrics, University of Washington, Seattle, WA 98105, USA
*
Author to whom correspondence should be addressed.
Academic Editors: Helena Solo-Gabriele and Alesia Ferguson
Received: 1 July 2016 / Revised: 7 August 2016 / Accepted: 10 August 2016 / Published: 17 August 2016
(This article belongs to the Special Issue Children’s Exposure to Environmental Contaminants)
View Full-Text   |   Download PDF [265 KB, uploaded 17 August 2016]

Abstract

Paresthesias have previously been reported among adults in occupational and non-occupational settings after dermal contact with pyrethroid insecticides. In this report, we describe a preverbal 13-month-old who presented to his primary care pediatrician with approximately 1 week of odd facial movements consistent with facial paresthesias. The symptoms coincided with a period of repeat indoor spraying at his home with a commercially available insecticide containing two active ingredients in the pyrethroid class. Consultation by the Northwest Pediatric Environmental Health Specialty Unit and follow-up by the Washington State Department of Health included urinary pyrethroid metabolite measurements during and after the symptomatic period, counseling on home clean up and use of safer pest control methods. The child’s symptoms resolved soon after home cleanup. A diagnosis of pesticide-related illness due to pyrethroid exposure was made based on the opportunity for significant exposure (multiple applications in areas where the child spent time), supportive biomonitoring data, and the consistency and temporality of symptom findings (paresthesias). This case underscores the vulnerability of children to uptake pesticides, the role of the primary care provider in ascertaining an exposure history to recognize symptomatic illness, and the need for collaborative medical and public health efforts to reduce significant exposures in children. View Full-Text
Keywords: pesticide; insecticide; pyrethroid; paresthesia; pediatric; child; biomonitoring pesticide; insecticide; pyrethroid; paresthesia; pediatric; child; biomonitoring
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Perkins, A.; Walters, F.; Sievert, J.; Rhodes, B.; Morrissey, B.; Karr, C.J. Home Use of a Pyrethroid-Containing Pesticide and Facial Paresthesia in a Toddler: A Case Report. Int. J. Environ. Res. Public Health 2016, 13, 829.

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