Lung lesions in exposure to pesticides and herbicides (literature review and case report)

Pesticides (herbicides, insecticides, fungicides, zoocides) are mixtures of substances of chemical or biological origin used to destroy or inhibit the growth of microorganisms, fungi, harmful vegetation, and other living organisms. These organisms damage crop and livestock production, degrade the quality of agricultural products, materials, and goods. Pesticides are classified into organic, and inorganic based on their chemical composition. About 1,000 active ingredients are used in pesticides, of which 310 are considered particularly hazardous. Extensive use of pesticides leads to the destruction of biocenoses and the emergence of various pathological changes in the human body. Among the pesticide ingredients with acute and chronic toxicity, abamectin, aluminum phosphide, beta-cyfluthrin, bifenthrin, chlorpyrifos, deltamethrin, diazinon, fenamiphos, malathion, methomyl, oxamyl, primicarb, propargite, tebuconazole, chlorothalonil, bromoxynil, bromoxynil octanoate, brodifacoum, and others stand out. In conditions of pesticide load on soils, the frequency of allergic and respiratory diseases is steadily increasing. Chronic obstructive pulmonary disease (COPD), caused by smoking and pesticides, leads to loss of working capacity and social activity, as well as significant costs for treatment and rehabilitation. The article discusses the pathogenetic and clinical aspects of the formation of COPD under conditions of synergy (smoking + pesticides). Various clinical phenotypes of COPD are also considered. A clinical case of a patient with COPD caused by smoking and prolonged contact with pesticides (mosplan, zellek-super, goal 2E), which manifested with chronic respiratory failure, multifocal atherosclerosis, and heart failure, is described.