Toxic ingestions and

Suggested Alternatives for Differential Diagnosis Bartonellosis, brucellosis, other causes of encephalitis, coxsackieviruses, cryptococcosis, cysticercosis, cytomegalovirus, histoplasmosis, legionellosis, leptospirosis, listeria, lyme disease, malaria, rabies, tuberculosis, mumps, stroke, metabolic encephalopathy, Reye syndrome, Bartonella infection, Naegleria infection, Ebstein-Barr virus, prion disease, toxic ingestions, and AIDS. 

Health nd Safety Factors. Isophorone is considered moderately toxic by ingestion and skin contact. Some rat tumor formation evidence has been found (264), but no demonstration as a human carcinogen has been proven. Isophorone is considered an Environmental Protection Agency (EPA) priority pollutant, and has a permissible acute toxicity concentration of 117, 000 ///L to protect freshwater aquatic life, 12, 900 ///L to protect saltwater aquatic life, and 5, 200 ///L to protect human life (265). Isophorone is mildly toxic by inhalation, but because of its low volatiUty it is not a serious vapor hazard. 

Isocyanates. Isocyanates in general are toxic chemicals and require great care in handling. Oral ingestion of substantial quantities of isocyanates can be tolerated by the human body, but acute symptoms may develop from the inhalation of much smaller amounts. The inhalation of isocyanates presents a ha2ard for the people who work with them as weU as the people who Hve in the proximity of an isocyanate plant. Adequate control of exposure is necessary to achieve a safe working environment. The suppHers Material Safety Data Sheets (MSDS) have to be consulted for the most current information on the safe handling of isocyanates. 

Dichloroethylene is toxic by inhalation and ingestion and can be absorbed by the skin. It has a TLV of 200 ppm (10). The odor does not provide adequate warning of dangerously high vapor concentrations. Thorough ventilation is essential whenever the solvent is used for both worker exposure and flammabihty concerns. Symptoms of exposure include narcosis, dizziness, and drowsiness. Currently no data are available on the chronic effects of exposure to low vapor concentrations over extended periods of time. 

The primary routes of entry for animal exposure to chromium compounds are inhalation, ingestion, and, for hexavalent compounds, skin penetration. This last route is more important in industrial exposures. Most hexavalent chromium compounds are readily absorbed, are more soluble than trivalent chromium in the pH range 5 to 7, and react with cell membranes. Although hexavalent compounds are more toxic than those of Cr(III), an overexposure to compounds of either oxidation state may lead to inflammation and irritation of the eyes, skin, and the mucous membranes associated with the respiratory and gastrointestinal tracts. Skin ulcers and perforations of nasal septa have been observed in some industrial workers after prolonged exposure to certain hexavalent chromium compounds (108—110), ie, to chromic acid mist or sodium and potassium dichromate. 

Cyanohydrins are highly toxic by inhalation or ingestion, and moderately toxic through skin absorption (21). AH a-hydroxy nitriles are potential sources of hydrogen cyanide or cyanides and must be handled with considerable caution. Contact with the skin and inhalation should be rigorously avoided. Special protective clothing should be worn and any exposure should be avoided (18,20). The area should be adequately ventilated. Immediate medical attention is essential in case of cyanohydrin poisoning. 

The water solubiUty of glutaric acid fosters its toxicity. Glutaric acid is a known nephrotoxin. Renal failure has been documented ia rabbits adruinistered sodium glutarate subcutaneously (124). Dibasic ester (Du Pont), which contains primarily dimethyl glutarate, has low acute toxicity by inhalation and by ingestion, and is moderately toxic via dermal absorption. The acid is both a dermal and ocular irritant of humans. The ester is a severe skin irritant and may cause a rash ia humans (120). 

The toxicity of a substance is its capacity to cause injury once inside the body. The main modes of entry into the body by chemicals in industry are inhalation, ingestion and absorption through the skin. Gases, vapours, mists, dusts, fumes and aerosols can be inhaled and they can also affect the skin, eyes and mucous membranes. Ingestion is rare although possible as a result of poor personal hygiene, subconscious hand-to-mouth contact, or accidents. The skin can be affected directly by contact with the chemicals, even when intact, but its permeability to certain substances also offers a route into the body. Chemicals accorded a skin notation in the list of Occupational Exposure Limits (see Table 5.12) are listed in Table 5.2. Exposure may also arise via skin lesions. 

Whenever a hydrocarbon backbone has two hydroxyl radicals attached to it, it becomes a special type of alcohol known as a glycol. The simplest of the glycols, and the most important, is ethylene glycol, whose molecular formula C2H4(OH)2. The molecular formula can also be written CHjOHCHjOH and may be printed as such on some labels. Ethylene glycol is a colorless, thick liquid with a sweet taste, is toxic by ingestion and by inhalation, and among its many uses is a permanent antifreeze and coolant for automobiles. It is a combustible liquid with a flash point of 240"F. 

Ci (curie) = 3.7 x 10 °Bq (becquerel) 1 Bq = 1 s . ] Tritium is one of the least toxic of radioisotopes and shielding is unnecessary however, precautions must be taken against ingestion, and no work should be carried out without appropriate statutory authorization and adequate radiochemical facilities. 

Specification grade K nitrate gains 0,76% by wt at 70°F and 90% relative humidity Toxicity. Ingestion of large amounts may cause violent irritation of the intestinal lining. Prolonged exposure to small amounts may result in anemia and nephritis. Moderately poisonous on ingestion or inhalation (Refs 9 10)... 

SI sol in cold w freely sol in hot w, ale, benz, eth, CS2 and alkali hydroxides. Highly toxic by ingestion and inhalation. Forms salts, of which the Pb salt explds mildly when heated rapidly (Ref 1, [209])... 

Metafor 3- Mononitrophenol Monoclinic prisms from eth or dil HC1 mp 97° bp 194° at 70mm, decomps when distd at ordinary pressure d 1.485g/cc at 20°, 1.2797 at 100°. Does not volatilize with steam cannot be prepd by the nitration of phenol. Can be obtained by boiling diazotized m-nitroaniline with w and sulfuric acid (Ref 3). SI sol in w, sol in ale. Highly toxic by ingestion and inhalation Refs 1) Beil 6, 222-24, (116), [212-14]... 

Para-for 4-j Mononitrophenol Yellowish monocl prismatic crysts mp 113—14° bp 279 de-compn d 1.479—1.495 at 20°. Can be prepd from p-chloronitrobenzene. Sol in hot w, ale eth. Most toxic of the three isomers by ingestion and inhalation... 

P oxychloride is highly toxic by inhalation and ingestion, and a strong irritant to skin and tissue (Refs 14 15)... 

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