Malathion poisoning
Carbofos poisoning; Compound 4049 poisoning; Cythion poisoning; Fosfothion poisoning; Mercaptothion poisoning
Malathion is an insecticide, a product used to kill or control bugs. Poisoning may occur if you swallow malathion, handle it without gloves, or do not wash hands your hands soon after touching it. Large amounts can be absorbed through the skin.
This article is for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call your local emergency number (such as 911), or your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.
Poisonous Ingredient
Malathion is the poisonous ingredient in these products.
Where Found
Malathion is used in agriculture to kill and control insects on crops and in gardens. The government also uses it to kill mosquitoes in large outdoor areas.
Kill and control insects
Insecticide is a chemical that kills bugs. Insecticide poisoning occurs when someone swallows or breathes in this substance or it is absorbed throug...
Malathion may also be found in certain products to kill head lice.
Symptoms
Below are symptoms of malathion poisoning in different parts of the body.
Airways and lungs
- Chest tightness
- Difficulty breathing
- No breathing
Bladder and kidneys
-
Increased urination
Increased urination
Excessive amount of urination means that your body makes larger than normal amounts of urine each day.
Eyes, ears, nose, and throat
-
Increased salivation
Increased salivation
Drooling is saliva flowing outside the mouth.
-
Increased tears in the eyes
Increased tears in the eyes
Watery eyes means you have too many tears draining from the eyes. Tears help keep the surface of the eye moist. They wash away particles and foreig...
- Small or dilated pupils that do not react to light
Heart and blood
- Low or high blood pressure
- Slow or rapid heart rate
- Weakness
Nervous system
- Agitation
-
Anxiety
Anxiety
Stress is a feeling of emotional or physical tension. It can come from any event or thought that makes you feel frustrated, angry, or nervous. Stres...
-
Coma
Coma
Decreased alertness is a state of reduced awareness. A coma is a state of decreased alertness from which a person cannot be awakened. A long-term co...
- Confusion
-
Convulsions
Convulsions
A seizure is the physical findings or changes in behavior that occur after an episode of abnormal electrical activity in the brain. The term "seizure...
-
Dizziness
Dizziness
Dizziness is a term that is often used to describe 2 different symptoms: lightheadedness and vertigo. Lightheadedness is a feeling that you might fai...
- Headache
Skin
- Blue lips and fingernails
- Sweating
Stomach and gastrointestinal tract
- Abdominal cramps
- Diarrhea
- Loss of appetite
- Nausea and vomiting
Home Care
Call poison control for treatment information. If malathion is on the skin, wash the area thoroughly for at least 15 minutes.
Throw away all contaminated clothing. Follow instructions from the appropriate agencies for getting rid of hazardous waste. Wear protective gloves when touching contaminated clothing.
Before Calling Emergency
Have this information ready:
- Person's age, weight, and condition
- Name of the product (ingredients and strength, if known)
- Time it was swallowed
- Amount swallowed
Poison Control
Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States. They will give you further instructions.
Poison Help hotline
For a POISON EMERGENCY call:1-800-222-1222ANYWHERE IN THE UNITED STATESThis national hotline number will let you talk to experts in poisoning. This ...
This is a free and confidential service. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week.
What to Expect at the Emergency Room
Take the container with you to the hospital, if possible.
People with malathion poisoning will likely be treated by first responders (firefighters, paramedics) who arrive when you call your local emergency number. These responders will decontaminate the person by removing the person's clothes and washing them down with water. The responders will wear protective gear. If the person is not decontaminated before getting to the hospital, emergency room personnel will decontaminate the person and provide other treatment.
The health care provider at the hospital will measure and monitor the person's vital signs, including temperature, pulse, breathing rate, and blood pressure. The person may receive:
- Blood and urine tests
- Breathing support, including oxygen, tube through the mouth into the throat, and breathing machine
- Chest x-ray
- CT (computerized tomography) scan (advanced brain imaging)
- EKG (electrocardiogram or heart tracing)
- Intravenous fluids (through a vein)
- Medicine to reverse the effects of the poison
- Tube placed down the nose and into the stomach (sometimes)
- Washing of the skin (irrigation) and eyes, perhaps every few hours for several days
Outlook (Prognosis)
People who continue to improve in the first 4 to 6 hours after receiving medical treatment usually recover. Prolonged treatment often is needed to reverse the poisoning. This may include staying in the hospital intensive care unit and getting long-term therapy. Some effects of the poison may last for weeks or months, or even longer.
References
Cannon RD, Ruha A-M. Insecticides, herbicides, and rodenticides. In: Adams JG. Emergency Medicine . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:chap 146.
Rhee JW. Insecticides. In: Marx JA, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice . 8th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 163.
Toxicological Profile for Malathion . Atlanta, GA: Department of Health and Human Services, Public Health Service. Agency for Toxic Substances and Disease Registry (ATSDR); 2003.
Review Date: 7/11/2015
Reviewed By: Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.