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- Title
A case of organophosphate poisoning presenting with seizure and unavailable history of parenteral suicide attempt.
- Authors
Pandit, Vinay; Seshadri, Shubha; Rao, S N; Samarasinghe, Charmaine; Kumar, Ashwini; Valsalan, Rohith
- 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.
- Publication
Journal of emergencies, trauma, and shock, 2011, Vol 4, Issue 1, p132
- ISSN
0974-519X
- Publication type
Case Study
- DOI
10.4103/0974-2700.76825