%0 Journal Article
%T A case of organophosphate poisoning presenting with seizure and unavailable history of parenteral suicide attempt
%A Pandit Vinay
%A Seshadri Shubha
%A Rao S
%A Samarasinghe Charmaine
%J Journal of Emergencies, Trauma and Shock
%D 2011
%I Medknow Publications
%X 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.
%K Organophosphate poison
%K parenteral
%K seizure
%U http://www.onlinejets.org/article.asp?issn=0974-2700;year=2011;volume=4;issue=1;spage=132;epage=134;aulast=Pandit