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

Research output: Contribution to journalArticle

25 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 languageEnglish
Pages (from-to)132-134
Number of pages3
JournalJournal of Emergencies, Trauma and Shock
Volume4
Issue number1
DOIs
Publication statusPublished - 01-01-2011

All Science Journal Classification (ASJC) codes

  • Emergency Medicine

Fingerprint Dive into the research topics of 'A case of organophosphate poisoning presenting with seizure and unavailable history of parenteral suicide attempt'. Together they form a unique fingerprint.

  • Cite this