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VOLUME 18 , ISSUE 4 ( April, 2014 ) > List of Articles

CASE REPORT

Atypical manifestations of organophosphorus poisoning following subcutaneous injection of Dichlorvos with suicidal intention

Keywords : Central nervous system manifestations, respiratory arrest, subcutaneous dichlorvos

Citation Information : Atypical manifestations of organophosphorus poisoning following subcutaneous injection of Dichlorvos with suicidal intention. Indian J Crit Care Med 2014; 18 (4):244-246.

DOI: 10.4103/0972-5229.130578

License: CC BY-ND 3.0

Published Online: 01-04-2014

Copyright Statement:  Copyright © 2014; The Author(s).


Abstract

Current case report describes a 37-year-old female patient who was admitted to the hospital following subcutaneous injection of Dichlorvos with an insulin syringe. The only peripheral cholinergic sign observed on admission was excessive salivation with bilateral pyramidal tract signs. Locally she had necrosis of skin and subcutaneous tissue with surrounding blisters. In the subsequent course of her illness, she developed respiratory arrest requiring ventilator support. She also had delayed extrapyramidal manifestations. Relevant literature is reviewed. Possibility of route-specific, delayed predominant central nervous system effect of Dichlorvos postulated.

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