Leukopenia, Hypomagnesemia in 2,4-D Poisoning-A Rare Presentation

Abstract

2,4-D(2,4-Dichlorophenoxyaceticacid) is a common herbicide in agriculture field. It has moderately toxic

effect on mammals.2,4-D is available either in salt or ester formulations for field level use .Although no

specific antidote available for this herbicide, forced alkaline diuresis is one of the modalities of treatment

to promote early excretion of toxin through kidney and minimize its complications .Other management are

essentially supportive measure and prevention of possible complications like aspiration pneumonia .There

are a numbers of complications that are reported in varying degree .It affects skeletal muscle ,cardiovascular

,gastrointestinal , renal ,central and peripheral nervous system. Here we report a case who developed unusual

complications like leukopenia, hypomagnesemia, proximal muscle weakness after consumption of 2,4-D

after suicidal intent.