<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0035-0052</journal-id>
<journal-title><![CDATA[Revista mexicana de pediatría]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. pediatr.]]></abbrev-journal-title>
<issn>0035-0052</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Pediatría A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0035-00522024000500188</article-id>
<article-id pub-id-type="doi">10.35366/120169</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Abordaje clínico y evolución de un preescolar con intoxicación de fluoroacetato de sodio]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical approach and evolution of a preschooler with sodium fluoroacetate poisoning]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramos-Gutiérrez]]></surname>
<given-names><![CDATA[Ruth Yesica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruiz-Gutiérrez]]></surname>
<given-names><![CDATA[Adolfo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mancilla-Santos]]></surname>
<given-names><![CDATA[Ecxon Adrián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lona-Reyes]]></surname>
<given-names><![CDATA[Juan Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mejía-Velasco]]></surname>
<given-names><![CDATA[Carlos Iván]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Nuevo Hospital Civil de Guadalajara &#8220;Dr. Juan I Menchaca&#8221; Servicio de Urgencias Pediatría ]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Nuevo Hospital Civil de Guadalajara &#8220;Dr. Juan I Menchaca&#8221;  ]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Nuevo Hospital Civil de Guadalajara &#8220;Dr. Juan I Menchaca&#8221;  ]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Nuevo Hospital Civil de Guadalajara &#8220;Dr. Juan I Menchaca&#8221; División Pediatría ]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2024</year>
</pub-date>
<volume>91</volume>
<numero>5</numero>
<fpage>188</fpage>
<lpage>192</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0035-00522024000500188&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0035-00522024000500188&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0035-00522024000500188&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  el fluoroacetato de sodio es un rodenticida altamente letal. Su ingestión en humanos resulta en alta mortalidad.  Objetivo:  describir la evolución en un paciente preescolar con intoxicación por fluporocetato de sodio, tras recibir diferentes intervenciones.  Presentación de caso:  masculino de dos años que ingresó unas horas después de la ingesta. En la evolución clínica presentó taquipnea, deterioro del estado de alerta, crisis convulsivas tónico-clónicas generalizadas, choque cardiogénico, acidosis metabólica, lesión renal aguda y disfunción multiorgánica. Además de los cuidados intensivos, se realizó lavado gástrico, administración de carbón activado y terapia con etanol (vodka al 40%) a través de sonda nasogástrica. Ante la lesión renal aguda se indicó terapia de sustitución renal con hemodiafiltración durante cuatro días. El paciente progresivamente mejoró y se egresó sin complicaciones.  Conclusiones:  ante la intoxicación por rodenticidas, es fundamental reconocer las propiedades fisicoquímicas y comprender la fisiopatología para brindar un manejo de manera integral.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  sodium fluoroacetate is a highly lethal rodenticide. Its ingestion by humans leads to high mortality.  Objective:  to describe the evolution of a preschool patient with sodium fluoroacetate poisoning after receiving different interventions.  Case presentation:  a two-year-old male was admitted a few hours after ingestion. His clinical course included tachypnea, impaired alertness, generalized tonic-clonic seizures, cardiogenic shock, metabolic acidosis, acute kidney injury, and multiple organ dysfunction. In addition to intensive care, gastric lavage, administration of activated charcoal, and ethanol therapy (40% vodka) were performed through a nasogastric tube. Due to acute kidney injury, renal replacement therapy with hemodiafiltration was prescribed for four days. The patient progressively improved and was discharged without complications.  Conclusions:  in the case of rodenticide poisoning, it is essential to recognize the physicochemical properties and understand the pathophysiology in order to provide comprehensive management.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[intoxicación]]></kwd>
<kwd lng="es"><![CDATA[fluoracetato de sodio]]></kwd>
<kwd lng="es"><![CDATA[roenticida]]></kwd>
<kwd lng="es"><![CDATA[hemofiltración]]></kwd>
<kwd lng="es"><![CDATA[preescolar]]></kwd>
<kwd lng="en"><![CDATA[poisoning]]></kwd>
<kwd lng="en"><![CDATA[sodium fluoroacetate]]></kwd>
<kwd lng="en"><![CDATA[rodenticide]]></kwd>
<kwd lng="en"><![CDATA[hemofiltration]]></kwd>
<kwd lng="en"><![CDATA[preschool]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dávila-Guajardo]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Santoscoy-Mejía]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Ramírez-Lezama]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Rangel-Luna]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Intoxicación por fluoroacetato de sodio (compuesto 1080): presentación de un caso clínico-patológico. REDVET]]></article-title>
<source><![CDATA[Revista Electrónica de Veterinaria]]></source>
<year>2005</year>
<numero>7</numero>
<issue>7</issue>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ávila-Reyes]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Galvis-Mejía]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Gómez-González]]></surname>
<given-names><![CDATA[JF]]></given-names>
</name>
<name>
<surname><![CDATA[Aguirre-Flórez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Sodium fluoracetate&#8217;s poisoning: a case report]]></article-title>
<source><![CDATA[Rev Toxicol]]></source>
<year>2020</year>
<volume>37</volume>
<page-range>94-7</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Avilés-Martínez]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Villalobos-Lizardi]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[López-Enríquez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Venta clandestina de rodenticidas, un problema de salud pública. Reporte de dos casos]]></article-title>
<source><![CDATA[APM]]></source>
<year>2019</year>
<volume>40</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>71-84</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sánchez-Guzmán]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez-Guzmán]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez-Guzmán]]></surname>
<given-names><![CDATA[MT]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Intoxicación por fluoroacetato de sodio]]></article-title>
<source><![CDATA[Rev Med MD]]></source>
<year>2018</year>
<volume>9</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>199-204</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Azuara-Antonio]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Ortiz]]></surname>
<given-names><![CDATA[MI]]></given-names>
</name>
<name>
<surname><![CDATA[Mateos-Mauricio]]></surname>
<given-names><![CDATA[FA]]></given-names>
</name>
<name>
<surname><![CDATA[Méndez-Salinas]]></surname>
<given-names><![CDATA[AK]]></given-names>
</name>
<name>
<surname><![CDATA[Cortez-Hernández]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Escobar-Laguna]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Intoxicación por fluoroacetato de sodio (Compuesto 1080): reporte de un caso]]></article-title>
<source><![CDATA[ICSA]]></source>
<year>2023</year>
<volume>12</volume>
<numero>23</numero>
<issue>23</issue>
<page-range>101-5</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Durango]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Arroyave]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Jaramillo]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Miocarditis secundaria a intoxicación con monofluoracetato de sodio]]></article-title>
<source><![CDATA[Acta Med Colomb]]></source>
<year>2006</year>
<volume>31</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>120-4</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Granada]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[DA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Intoxicación por fluoroacetato de sodio]]></article-title>
<source><![CDATA[Rev Fac Med]]></source>
<year>2014</year>
<volume>62</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>137-40</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Schneir]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Olson]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Smollin]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Anderson]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Benowitz]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Blanc]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<source><![CDATA[Envenenamientos e intoxicaciones]]></source>
<year>2022</year>
<edition>8a</edition>
<publisher-name><![CDATA[McGraw Hill]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Acosta-González]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Góngora]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Cortés]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Camila-Rodríguez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Intoxicación por fluoracetato de sodio]]></article-title>
<source><![CDATA[Acta Colombiana de Cuidado Intensivo]]></source>
<year>2008</year>
<volume>8</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>357-62</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Berrouet-Mejía]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
<name>
<surname><![CDATA[Escobar-Toledo]]></surname>
<given-names><![CDATA[IE]]></given-names>
</name>
<name>
<surname><![CDATA[González-Ramírez]]></surname>
<given-names><![CDATA[DM]]></given-names>
</name>
</person-group>
<source><![CDATA[Fluoroacetato de sodio. Estado del arte]]></source>
<year>2008</year>
<page-range>1-15</page-range><publisher-name><![CDATA[Retel]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sánchez-Villegas]]></surname>
<given-names><![CDATA[MCS]]></given-names>
</name>
<name>
<surname><![CDATA[Bárcena-Ruiz]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Intoxicación con fosfuro de zinc en el paciente pediátrico en un centro toxicológico de la Ciudad de México]]></article-title>
<source><![CDATA[Rev Med Inst Mex Seguro Soc]]></source>
<year>2017</year>
<volume>55</volume>
<numero>^s1</numero>
<issue>^s1</issue>
<supplement>1</supplement>
<page-range>44-52</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ortigado-Matamala]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Lectura del ECG]]></article-title>
<source><![CDATA[Pediatr Integral]]></source>
<year>2012</year>
<volume>16</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>715-22</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Esmel-Vilomara]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Riaza]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Dolader]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Sabaté-Rotés]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Rosés-Noguer]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Gran]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[New-onset heart failure in infants: when the aetiological diagnosis becomes a challenge]]></article-title>
<source><![CDATA[Eur J Pediatr]]></source>
<year>2024</year>
<volume>183</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>493-8</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Proudfoot]]></surname>
<given-names><![CDATA[AT]]></given-names>
</name>
<name>
<surname><![CDATA[Bradberry]]></surname>
<given-names><![CDATA[SM]]></given-names>
</name>
<name>
<surname><![CDATA[Vale]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Sodium fluoroacetate poisoning]]></article-title>
<source><![CDATA[Toxicol Rev]]></source>
<year>2006</year>
<volume>25</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>213-9</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ramírez]]></surname>
<given-names><![CDATA[MJL]]></given-names>
</name>
<name>
<surname><![CDATA[Ramírez]]></surname>
<given-names><![CDATA[SMS]]></given-names>
</name>
<name>
<surname><![CDATA[Gutiérrez]]></surname>
<given-names><![CDATA[REY]]></given-names>
</name>
<name>
<surname><![CDATA[Mujica]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Estudio comparativo de los efectos de hidrato de cloral y etanol en ratas expuestas a fluoracetato de sodio]]></article-title>
<source><![CDATA[INHRR]]></source>
<year>2012</year>
<volume>43</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>44-50</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gummin]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Mowry]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Beuhler]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Spyker]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Brooks]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Dibert]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[2019 Annual Report of the American Association of Poison Control Centers&#8217; National Poison Data System (NPDS): 37th Annual Report]]></article-title>
<source><![CDATA[Clin Toxicol (Phila)]]></source>
<year>2020</year>
<volume>58</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>1360-541</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Guirola-Fuentes]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Batista-Reyes]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández-Gutiérrez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Las técnicas de depuración extra-renal como parte del tratamiento de las intoxicaciones agudas]]></source>
<year>2021</year>
<publisher-name><![CDATA[Fármaco Salud Artemisa]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Deville]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Charlton]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Askenazi]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Use of extracorporeal therapies to treat life-threatening intoxications]]></article-title>
<source><![CDATA[Pediatr Nephrol]]></source>
<year>2024</year>
<volume>39</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>105-13</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
