A case of organophosphate poisoning presenting with seizure and unavailable history of parenteral suicide attempt

Vinay Pandit; Shubha Seshadri; S. N. Rao; Charmaine Samarasinghe; Ashwini Kumar; Rohith Valsalan

doi:10.4103/0974-2700.76825

A case of organophosphate poisoning presenting with seizure and unavailable history of parenteral suicide attempt

Vinay Pandit, Shubha Seshadri, S. N. Rao, Charmaine Samarasinghe, Ashwini Kumar, Rohith Valsalan

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32 Citations (Scopus)

Abstract

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.

Original language	English
Pages (from-to)	132-134
Number of pages	3
Journal	Journal of Emergencies, Trauma and Shock
Volume	4
Issue number	1
DOIs	https://doi.org/10.4103/0974-2700.76825
Publication status	Published - 01-01-2011

All Science Journal Classification (ASJC) codes

Emergency Medicine

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This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.4103/0974-2700.76825

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abstract = "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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AU - Pandit, Vinay

AU - Seshadri, Shubha

AU - Rao, S. N.

AU - Samarasinghe, Charmaine

AU - Kumar, Ashwini

AU - Valsalan, Rohith

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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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A case of organophosphate poisoning presenting with seizure and unavailable history of parenteral suicide attempt

Abstract

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