Citation

Mascarenhas Saraiva M, Ribeiro TF, Vilas Boas F, Macedo G. Rev. Esp. Enferm. Dig. 2021; 113(7): e551.

Copyright

(Copyright © 2021, Sociedad Espanola de Patologia Digestiva, Publisher Aran Ediciones)

DOI

10.17235/reed.2020.7540/2020

PMID

33267602

Abstract

An 83-year-old male was brought to the Emergency Room after ingesting an unknown dose of dimethoate, an organophosphate pesticide. He had been previously diagnosed with depression but there were no previous suicide attempts. The admission Glasgow Coma Scale score was 3 and he had miotic pupils and copious oropharyngeal secretions. The patient was hemodynamically stable, mildly tachypneic (respiratory rate 22/minute) and nonfebrile. Laboratory workup revealed a normal complete blood count (Hb 15 g/dl, platelets 178,000/µl), normal liver tests and no coagulopathy. Low acetylcholinesterase levels confirmed organophosphate poisoning. He was admitted to the Intensive Care Unit (ICU) under treatment with obidoxime.

Language: en

Keywords

Aged, 80 and over; Caustics; Emergency Service, Hospital; Humans; Insecticides; Male; Organophosphate Poisoning; Suicide, Attempted