Patients intoxicated with fumigants

Data Base: Patients intoxicated with Fumigants (recent cases)

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No	Source	Age	Sex	From	Exposition			Diagnosis
No	Source	Age	Sex	From	Substance	Activity	Period	Diagnosis
1	ZfAM Patient	38	M	D, NRW	1,2-Dichloroethane	Unloading a Container	4 - 5 hours	Intoxication with fumigants Pulmonary obstruction and bronchial hyperreactivity (RADS) Persistent neurological deficiencies
2	ZfAM Patient	34	M	D, NRW	1,2-Dichloroethane	Unloading a Container	Approx. 6 + 2 hours	Intoxication with fumigants Pulmonary obstruction and bronchial hyperreactivity (RADS)
3	ZfAM Patient	39	M	D, NRW	1,2-Dichloroethane	Unloading a Container	Approx. 4 + 2 hours	Intoxication with fumigants
4	ZfAM Patient	45	M	D, NRW	1,2-Dichloroethane	Unloading a Container	Approx. 4 hours	Intoxication with fumigants
5	ZfAM Patient	52	M	D, NRW	1,2-Dichloroethane	Unloading a Container	Approx. 10 minutes	Intoxication with fumigants Bronchial hyperreactivity Intermittent atrial fibrillation and absolute arrhythmia Hyperlipidämia
6	ZfAM Patient	37	M	D	Phosphine	Ignition of fumigant while working as a stevedore	Approx. 30 minutes	Phosphine intoxication Persistent polyneuropathy Persistent cerebral dysfunction Bronchial hyperreactivity
7	ZfAM Patient	55	M	D, HH	1,2-Dichloroethane	Storing textiles in a warehouse	2 years	Intoxication with fumigants Persistent cerebral dysfunction Bronchial hyperreactivity
8	ZfAM Patient	48	W	D, HH	1,2-Dichloroethane	Storing textiles in a warehouse	10 years	Intoxication with fumigants Persistent cerebral dysfunction Bronchial hyperreactivity
9	ZfAM Patient	36	M	D, HH	1,2-Dichloroethane	Cleaning a textile warehouse	4 years	Intoxication with fumigants Type-I-sensitisation versus tree and weed
10	ZfAM Patient	70	M	D, HB	unknown	Container inspection	some minutes	Intoxication with fumigants
11	ZfAM Patient	54	M	D, HE	Methyl bromide	Unloading of a container	5 - 6 minutes	Methyl bromide intoxication Bronchial hyperreactivity
12	ZfAM Patient	44	W	D, HH	unknown	Storing textiles in a warehouse	4 10/12 years	Intoxication with fumigants Type-I-sensitisation versus cats, dogs, weeds, goats and guinea-pigs
13	ZfAM Patient	38	M	D,HH	Methyl bromide	Loading and unloading of containers	8 years	Methyl bromide intoxication
14	ZfAM Patient	55	M	D, NRW	Methyl bromide, Phosphine	Unloading of containers, storing goods	9 years	Methyl bromide intoxication Phosphine intoxication
15	ZfAM Patient	48	W	D, RP	Dichloromethane	Moving own furniture via container from South America to Germany	Weeks	Dichloromethane intoxication
16	ZfAM Patient	51	M	D, HE	Methyl bromide	Unloading of containers	1 year	Intoxikation mit Brommethan Prostate Carcinoma
E1	DIC-N		M		1,2-Dichloroethane			1,2-Dichloroethane-intoxikation
E2	DIC-N		M		Dichloromethane, 1,1,1-trichloroethane, toluene, ethyl acetate, MEK	Adhesive work		Chronic polyneuropathy due to dichloromethane
E3	DODDN	44	M	F	Methyl bromide	Fumigation	1 hour	Methyl bromide intoxication
E4	DODDN	39	M	F	Methyl bromide	Fumigation	1 hour	Methyl bromide intoxication
E5	CPCS	36	W	USA	Methyl bromide	Living in guest cottage of fumigated house	1 day	Methyl bromide intoxication
E6	SUSM	30	M	J	Methyl bromide	Working in warehouse of imported and fumigated fruit and vegetable	Hours?	Methyl bromide intoxication
E7	SUSM	31	M	J	Methyl bromide	Fumigation	9 hours	Methyl bromide intoxication
E8	SUSM	29	M	J	Methyl bromide	Fumigation	30 hours	Methyl bromide intoxication
E9	SUSM	46	M	J	Methyl bromide	Fumigation	30 hours	Methyl bromide intoxication
E10	MAIB		M	R	Phosphine	Fumigation at sea	Hours - days?	Phosphine intoxication
E11	NPIC	48	M	USA	Phosphine	Aluminium phosphide manufacturing	Hours	Phosphine intoxication
E12	JICOSH		M	J	Methyl bromide	Cleaning a grain silo	Minutes	Methyl bromide intoxication
E13	JICOSH		M	J	unknown	Opening ship´s hold after fumigation of lumber	Minutes	Fumigant intoxication Anoxia
E14	ISNTC		M	ES	unknown	Ship´s inspection	Minutes	Fumigant intoxication
E15	CSES		M	UA	Phosphine	Transportation of fumigated cargo on ship	Days?	Death by Phosphine intoxication (2 cases)
E16	CSES		M	UA	Phosphine	Transportation of fumigated cargo on ship (same event as E15)	Days?	6 cases of Phosphine intoxication
E17	CSES		M	UA	Phosphine	Grain fumigation on board	Days?	Group phosphine intoxication
E18	DMA		M	ES	Phosphine	Stowaway in Ship´s hold with fumigated cargo	49 hours	Death due to phosphine intoxication
E19	DMA		M	ES	Phosphine	Stowaway in Ship´s hold with fumigated cargo (same event as E18)	49 hours	Death due to phosphine intoxication
E20	EOHUA	28	W	USA	Phosphine	Investigation of clandestine meth-amphetamine laboratories	20 - 30 minutes	Phosphine intoxication
E21	HPHTU		M	J	Methyl bromide ethylene oxide	Fumigation of a museum	28 - 30 hours	Intoxication with methyl bromide and ethylene oxide
E22	HPHTU	46	M	J	Methyl bromide ethylene oxide	Fumigation of a museum (same event as E21)	28 - 30 hours	Intoxication with methyl bromide and ethylene oxide
E23	HPHTU	20	M		Methyl bromide ethylene oxide	Fumigation of a museum (inhalation of gas when removing seal of cylinder without wearing gas mask)	Seconds	Intoxication with methyl bromide and ethylene oxide
E24	SDUT	37	W	USA	Sulfuryl fluoride	Fumigation of her condominium building	Hours?	Death due to sulfuryl fluoride intoxication

For Questions: Central Institute for Occupational Medicine and Maritime Medicine Prof. Dr. med. X. Baur, Dr. med. A. Preisser, Dr. med. F. Heblich Seewartenstraße 10, Haus 1 22459 Hamburg, Germany Tel.: 0049-40-428 894-501 Fax: 0049-40-428 894-514 email: zfam@bsg.hamburg.de