Aldicarb is the most potent of the commercially available carbamate pesticides and is an unusual source of acute human poisonings. We present the case of a 43-year-old man exposed to aldicarb who developed severe cholinergic symptoms and progressive weakness requiring intubation for 5 days. Both his red blood cell cholinesterase and plasma pseudocholinesterase levels were depressed for a minimum of 44 hours. He demonstrated neuromuscular improvement concurrent with pralidoxime administration. The pertinent medical literature on aldicarb poisoning is reviewed.
(Arch Intern Med. 1994;154:221-224)
Burgess JL, Bernstein JN, Hurlbut K. Aldicarb PoisoningA Case Report With Prolonged Cholinesterase Inhibition and Improvement After Pralidoxime Therapy. Arch Intern Med. 1994;154(2):221–224. doi:10.1001/archinte.1994.00420020143015