Journal of Emergencies, Trauma, and Shock
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CASE REPORT
Year : 2011  |  Volume : 4  |  Issue : 1  |  Page : 132-134

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


1 Department of Medicine, Kasturba Medical College, Manipal, Manipal University, Karnataka, India
2 Department of Neurology, Kasturba Medical College, Manipal, Manipal University, Karnataka, India
3 Department of Community Medicine, Kasturba Medical College, Manipal, Manipal University, Karnataka, India

Correspondence Address:
Vinay Pandit
Department of Medicine, Kasturba Medical College, Manipal, Manipal University, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2700.76825

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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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