Malathion poisoning

Definition

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 your hands soon after touching it. Large amounts can be absorbed through the skin.

This is for information only and not for use in the treatment or management of an actual poison exposure. If you have an exposure, you should call your local emergency number (such as 911) or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.

Alternative Names

Carbofos poisoning; Compound 4049 poisoning; Cythion poisoning; Fosfothion poisoning; Mercaptothion poisoning

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. Government agencies also use it to kill mosquitoes in large outdoor areas.

Malathion may also be found in certain products used to kill head lice.

Symptoms

Below are symptoms of malathion poisoning in different parts of the body.

AIRWAYS AND LUNGS

BLADDER AND KIDNEYS

EYES, EARS, NOSE, AND THROAT

HEART AND BLOOD

NERVOUS SYSTEM

SKIN

STOMACH AND GASTROINTESTINAL TRACT

Home Care

Call the poison control center 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:

Poison Control

Your local poison control 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.

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:

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.

Keep all chemicals, cleaners, and industrial products in their original containers and marked as poison, and out of the reach of children. This will reduce the risk of poisoning and overdose.

References

Agency for Toxic Substances and Disease Registry (ATSDR) website. Atlanta, GA: US Department of Health and Human Services, Public Health Service. Toxicological Profile for Malathion. wwwn.cdc.gov/TSP/ToxProfiles/ToxProfiles.aspx?id=522&tid=92. Reviewed March 20, 2014. Accessed April 13, 2023.

Mofenson HC, Caraccio TR, McGuigan M, Greensher J. Medical toxicology. In: Kellerman RD, Rakel DP, Heidelbaugh JJ, Lee EM, eds. Conn's Current Therapy 2023. Philadelphia, PA: Elsevier; 2023:1404-1457.

Welker KL, Thompson TM. Pesticides. In: Walls RM, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 10th ed. Philadelphia, PA: Elsevier; 2023:chap 152.



Review Date: 4/1/2023
Reviewed By: Jesse Borke, MD, CPE, FAAEM, FACEP, Attending Physician at Kaiser Permanente, Orange County, CA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. No warranty of any kind, either expressed or implied, is made as to the accuracy, reliability, timeliness, or correctness of any translations made by a third-party service of the information provided herein into any other language. © 1997- A.D.A.M., a business unit of Ebix, Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
© 1997- adam.comAll rights reserved.
A.D.A.M. content is best viewed in IE9 or above, Firefox and Google Chrome browser.