T37.4X

Clinical Causes: Incorrect dosing, such as taking more medication than prescribed Use of expired or contaminated medications Sensitivity or allergic reaction to a specific anthelminthic drug Inadvertent ingestion, especially in children Drug interactions that increase toxicity risk Use of anthelminthics without proper medical guidance Underdosing leading to ineffective treatment and potential resistance

Key Symptoms: Gastrointestinal discomfort including nausea, vomiting, or abdominal pain Dizziness or lightheadedness Allergic reactions such as rash, itching, or swelling Neurological symptoms like headache, confusion, or seizures (in severe cases) Signs of toxicity, such as jaundice or abnormal liver function tests Fatigue or weakness Respiratory difficulties in severe cases

Diagnosis Path: Diagnosis involves a detailed clinical history, including medication usage and timing of symptom onset. Blood tests may be performed to check organ function, detect signs of systemic toxicity, and identify potential allergic responses. In some cases, specific tests to detect anthelminthic drug levels in blood or urine may be employed. The clinician will also evaluate for any confounding conditions that might mimic poisoning effects.

Treatment Protocols: Treatment strategies focus on stabilizing the patient and preventing further absorption of the toxic substance. Immediate steps may include administering activated charcoal to reduce medication absorption, providing supportive care such as intravenous fluids, and monitoring vital signs. Specific interventions depend on the severity and nature of symptoms. In severe cases, hospital admission with intensive monitoring, use of antidotes if available, or supportive therapies such as oxygenation or anticonvulsants may be necessary. Follow-up care aims to monitor for recovery and prevent future adverse effects through proper medication management.