TY - JOUR
T1 - A case of organophosphate poisoning presenting with seizure and unavailable history of parenteral suicide attempt
AU - Pandit, Vinay
AU - Seshadri, Shubha
AU - Rao, S. N.
AU - Samarasinghe, Charmaine
AU - Kumar, Ashwini
AU - Valsalan, Rohith
PY - 2011/1/1
Y1 - 2011/1/1
N2 - Organophosphate (OP) poisoning is common in India. Only few case reports of parenteral OP poisoning have been described. We report a case of self-injected methyl parathion poisoning, presenting after four days with seizure, altered sensorium, and respiratory distress which posed a diagnostic and therapeutic dilemma. Despite nonavailability of history of OP poisoning, he was treated based on suspicion and showed a good clinical response to treatment trial with atropine and pralidoxime, and had a successful recovery. Atypical presentations may be encountered following parenteral administration of OP poison, and even a slight suspicion of this warrants proper investigations and treatment for a favorable outcome. Persistently low plasma cholinesterase level is a useful marker for making the diagnosis.
AB - Organophosphate (OP) poisoning is common in India. Only few case reports of parenteral OP poisoning have been described. We report a case of self-injected methyl parathion poisoning, presenting after four days with seizure, altered sensorium, and respiratory distress which posed a diagnostic and therapeutic dilemma. Despite nonavailability of history of OP poisoning, he was treated based on suspicion and showed a good clinical response to treatment trial with atropine and pralidoxime, and had a successful recovery. Atypical presentations may be encountered following parenteral administration of OP poison, and even a slight suspicion of this warrants proper investigations and treatment for a favorable outcome. Persistently low plasma cholinesterase level is a useful marker for making the diagnosis.
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U2 - 10.4103/0974-2700.76825
DO - 10.4103/0974-2700.76825
M3 - Article
AN - SCOPUS:79952372899
SN - 0974-2700
VL - 4
SP - 132
EP - 134
JO - Journal of Emergencies, Trauma and Shock
JF - Journal of Emergencies, Trauma and Shock
IS - 1
ER -