Parenteral Administration of Organophosphorus Compound- An Unusual Route of Poisoning Presenting With Severe Toxicity
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 1
Abstract
Acute Organophosphorus Compound poisoning ( OPC) usually manifest in 3 different phases of toxic effects like acute cholinergic crisis, intermediate syndrome (IMS) and lastly delayed neuropathy. Poisoning other than by ingestion is rarely seen in clinical practice. Here we report a 22 year male who presented in altered sensorium and erythema with induration in left arm. Treatment was started with high clinical suspicion of OPC poisoning. History of injecting about 15ml of parathion into his left arm was revealed after the patient regained consciousness. He developed features of IMS with necrosis and infection at the site of injection. He required ventilator support. He recovered after prompt administration of Pralidoxime and Atropine along with broad spectrum antibiotics and wound debridement. Parenteral administration of organophosphorus poison can cause severe toxicity especially with delayed manifestations and early recognition and treatment is essential for recovery
Authors and Affiliations
R. B. Sudagar Singh
Keywords
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