Citation

Srinivasan M, Amin R, Thunga G, Nagiri SK, Kudru CU. J. Clin. Diagn. Res. 2016; 10(11): FD01-FD02.

Copyright

(Copyright © 2016, JCDR Prepublishing)

DOI

10.7860/JCDR/2016/22756.8773

PMID

unavailable

Abstract

Organophosphate (OP) and mixed pesticide poisoning remains an important cause of hospital admission. Therefore, physician must be aware of atypical presentations of delayed neurological complications of poisoning by taking proper patient history. We report a case of a 23-year-old female who presented with high stepping gait and muscle wasting in hands. Patient history revealed consumption of approximately 4ml of mixed pesticide, consisting of 50% chlorpyrifos with synthetic pyrethroid, 5% cypermethrin. The prolonged and severe nature of delayed peripheral neuropathy, persisting at two years of follow-up, suggests that even small quantities of OP taken in combination with a pyrethroid can result in significant morbidity and is irreversible. © 2016, Journal of Clinical and Diagnostic Research. All rights reserved.

Language: en

Keywords

adult; human; suicide; pyrethroid; female; case report; chlorpyrifos; hospital admission; stomach lavage; nuclear magnetic resonance imaging; drug potentiation; organophosphate pesticide; cholinesterase; respiration depression; baclofen; vitamin B complex; Article; peroneus nerve paralysis; Chlorpyrifos; young adult; gait; limb weakness; demyelinating neuropathy; cypermethrin; Cypermethrin; hand grip; Mixed poisoning