@article{ref1,
title="A case of organophosphate poisoning presenting with seizure and unavailable history of parenteral suicide attempt",
journal="Journal of emergencies, trauma and shock",
year="2011",
author="Samarasinghe, Charmaine and Rao, S. N. and Seshadri, Shubha and Pandit, Vinay and Valsalan, Rohith and Kumar, Ashwini",
volume="4",
number="1",
pages="132-134",
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.<p /> <p>Language: en</p>",
language="en",
issn="0974-2700",
doi="10.4103/0974-2700.76825",
url="http://dx.doi.org/10.4103/0974-2700.76825"
}