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Case Reports
. 2011 Jan;4(1):132-4.
doi: 10.4103/0974-2700.76825.

A case of organophosphate poisoning presenting with seizure and unavailable history of parenteral suicide attempt

Vinay Pandit  1 , Shubha Seshadri, S N Rao, Charmaine Samarasinghe, Ashwini Kumar, Rohith Valsalan
Affiliations
Case Reports

A case of organophosphate poisoning presenting with seizure and unavailable history of parenteral suicide attempt

Vinay Pandit et al. J Emerg Trauma Shock. 2011 Jan.

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.

Keywords: Organophosphate poison; parenteral; seizure.

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Conflict of interest statement

Conflict of Interest: None declared.

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