TY  - JOUR
PY  - 2011//
TI  - A case of organophosphate poisoning presenting with seizure and unavailable history of parenteral suicide attempt
JO  - Journal of emergencies, trauma and shock
A1  - Samarasinghe, Charmaine
A1  - Rao, S. N.
A1  - Seshadri, Shubha
A1  - Pandit, Vinay
A1  - Valsalan, Rohith
A1  - Kumar, Ashwini
SP  - 132
EP  - 134
VL  - 4
IS  - 1
N2  - 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>
LA  - en
SN  - 0974-2700
UR  - http://dx.doi.org/10.4103/0974-2700.76825
ID  - ref1
ER  -