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August 1981

Methyl Bromide Poisoning Seen Initially as Psychosis

Author Affiliations

From the Department of Medicine, Episcopal Hospital (Drs Zatuchni and Hong), and Temple University School of Medicine (Dr Zatuchni), Philadelphia.

Arch Neurol. 1981;38(8):529-530. doi:10.1001/archneur.1981.00510080091016

Although methyl bromide poisoning A is serious and sometimes fatal, its bizarre clinical manifestations and infrequent occurrence may result in failure to recognize its presence. The purposes of this communication are to report a case of methyl bromide poisoning that masqueraded as psychosis, to describe its features and facilitate its diagnosis.

REPORT OF A CASE  A 19-year-old man was brought to Episcopal Hospital, Philadelphia, on March 3, 1979, from a psychiatric clinic. From September 1977 to June 1978, he had worked in a fumigating plant spraying fruits and vegetables and had had no symptoms. In December 1978, he had returned to work in the fumigating plant until February 1979, when he became ill. His job was to remove plastic sheeting following spraying. He did not wear a gas mask. Although other workers were similarly exposed, their whereabouts and health are unknown.Three weeks before he was brought to Episcopal