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Home Use of a Pyrethroid-Containing Pesticide and Facial Paresthesia in a Toddler: A Case Report

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  • Alexandra Perkins

    (Department of Environmental and Occupational Health Sciences, University of Washington, Seattle, WA 98105, USA
    Northwest Pediatric Environmental Health Specialty Unit, Seattle, WA 98105, USA)

  • Frederick Walters

    (Bainbridge Pediatrics, Bainbridge Island, WA 98110, USA)

  • Jennifer Sievert

    (Washington State Department of Health, P.O. Box 47825, Olympia, WA 98504, USA)

  • Blaine Rhodes

    (Washington State Department of Health, P.O. Box 47825, Olympia, WA 98504, USA)

  • Barbara Morrissey

    (Washington State Department of Health, P.O. Box 47825, Olympia, WA 98504, USA)

  • Catherine J. Karr

    (Northwest Pediatric Environmental Health Specialty Unit, Seattle, WA 98105, USA
    Department of Pediatrics, University of Washington, Seattle, WA 98105, USA)

Abstract

Paresthesias have previously been reported among adults in occupational and non-occupational settings after dermal contact with pyrethroid insecticides. In this report, we describe a preverbal 13-month-old who presented to his primary care pediatrician with approximately 1 week of odd facial movements consistent with facial paresthesias. The symptoms coincided with a period of repeat indoor spraying at his home with a commercially available insecticide containing two active ingredients in the pyrethroid class. Consultation by the Northwest Pediatric Environmental Health Specialty Unit and follow-up by the Washington State Department of Health included urinary pyrethroid metabolite measurements during and after the symptomatic period, counseling on home clean up and use of safer pest control methods. The child’s symptoms resolved soon after home cleanup. A diagnosis of pesticide-related illness due to pyrethroid exposure was made based on the opportunity for significant exposure (multiple applications in areas where the child spent time), supportive biomonitoring data, and the consistency and temporality of symptom findings (paresthesias). This case underscores the vulnerability of children to uptake pesticides, the role of the primary care provider in ascertaining an exposure history to recognize symptomatic illness, and the need for collaborative medical and public health efforts to reduce significant exposures in children.

Suggested Citation

  • Alexandra Perkins & Frederick Walters & Jennifer Sievert & Blaine Rhodes & Barbara Morrissey & Catherine J. Karr, 2016. "Home Use of a Pyrethroid-Containing Pesticide and Facial Paresthesia in a Toddler: A Case Report," IJERPH, MDPI, vol. 13(8), pages 1-7, August.
    • Handle: RePEc:gam:jijerp:v:13:y:2016:i:8:p:829-:d:76134
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    References listed on IDEAS

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    1. Fenske, R.A. & Black, K.G. & Elkner, K.P. & Lee, C.-L. & Methner, M.M. & Soto, R., 1990. "Potential exposure and health risks of infants following indoor residential pesticide applications," American Journal of Public Health, American Public Health Association, vol. 80(6), pages 689-693.
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    Cited by:

    1. Alesia Ferguson & Rosalind Penney & Helena Solo-Gabriele, 2017. "A Review of the Field on Children’s Exposure to Environmental Contaminants: A Risk Assessment Approach," IJERPH, MDPI, vol. 14(3), pages 1-25, March.
    2. Alesia Ferguson & Helena Solo-Gabriele, 2016. "Children’s Exposure to Environmental Contaminants: An Editorial Reflection of Articles in the IJERPH Special Issue Entitled, “Children’s Exposure to Environmental Contaminants”," IJERPH, MDPI, vol. 13(11), pages 1-10, November.

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