ReviewMedicine2026
Acute fluoroacetamide poisoning with reversible leukoencephalopathy: A case report and literature review highlighting the effectiveness of acetamide and the diagnostic value of neuroimaging.
Review in Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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7 authors.
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Abstract
rationaleAcute fluoroacetamide poisoning is a rare and life-threatening emergency. Diagnosis is challenging due to nonspecific symptoms and a latent period. This report emphasizes the effectiveness of delayed acetamide treatment and the importance of neuroimaging for diagnosis and monitoring. PATIENT CONCERNS: A 58-year-old man was admitted to the emergency room about 5 hours after intentionally ingesting an unknown pesticide following a personal conflict. DIAGNOSES: Fluoroacetamide poisoning was initially suspected based on prior domestic case reports, the patient history of pesticide ingestion, clinical signs, and diffusion-weighted magnetic resonance imaging (MRI) showing characteristic features of cytotoxic edema in specific brain regions. Upon confirming the pesticide product with the seller, the diagnosis was ultimately confirmed as fluoroacetamide poisoning.
interventionsGastric lavage, intramuscular acetamide, fluid resuscitation, and electrolyte correction were administered. OUTCOMES: The patient showed rapid clinical improvement after receiving acetamide. He was discharged after one week without any additional medication. Follow-up MRI at one month showed complete resolution of the previous abnormalities, and he reported no symptoms at the one-year follow-up. LESSONS: This case highlights the potential advantages of delaying acetamide treatment and suggests that brain diffusion-weighted MRI could be valuable in diagnosing and monitoring acute fluoroacetamide poisoning.
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