Neurotoxic Syndromes Sequencially Occuring after Consumption of Organophosphorus Compound – A Case Report

1
Peter George
Peter George
2
Narasimha Hegde
Narasimha Hegde
1 Father Muller Medical College, Father Muller Road, Mangalore -575002, S India.

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Organo-phosphorus compounds (OPC) are among the most used poisons for suicide in India, and associated toxic syndromes are well described. We report a young man who presented to us with alleged consumption of chlorpyrifos, a crystalline organophosphate insecticide. During hospitalization he developed acute organo-phosphorus toxicity (type I) and intermediate syndrome (type II), both situations were managed by assisted ventilation and supportive care. After 6 weeks of discharge he reported with features of delayed poly neuropathy (type III). It is rare for these patients to follow up at the same centre to identify and manage these toxicities. Often the type III toxicity is misdiagnosed and over investigated for other causes of neuropathy. Though OPC poisoning is commonly encountered in practice, only few reports have described all toxicities to occur in the same patient.

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No external funding was declared for this work.

Conflict of Interest

The authors declare no conflict of interest.

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No ethics committee approval was required for this article type.

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Not applicable for this article.

Peter George. 2014. \u201cNeurotoxic Syndromes Sequencially Occuring after Consumption of Organophosphorus Compound – A Case Report\u201d. Global Journal of Medical Research - B: Pharma, Drug Discovery, Toxicology & Medicine GJMR-B Volume 13 (GJMR Volume 13 Issue B7): .

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Crossref Journal DOI 10.17406/gjmra

Print ISSN 0975-5888

e-ISSN 2249-4618

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February 12, 2014

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English

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Organo-phosphorus compounds (OPC) are among the most used poisons for suicide in India, and associated toxic syndromes are well described. We report a young man who presented to us with alleged consumption of chlorpyrifos, a crystalline organophosphate insecticide. During hospitalization he developed acute organo-phosphorus toxicity (type I) and intermediate syndrome (type II), both situations were managed by assisted ventilation and supportive care. After 6 weeks of discharge he reported with features of delayed poly neuropathy (type III). It is rare for these patients to follow up at the same centre to identify and manage these toxicities. Often the type III toxicity is misdiagnosed and over investigated for other causes of neuropathy. Though OPC poisoning is commonly encountered in practice, only few reports have described all toxicities to occur in the same patient.

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Neurotoxic Syndromes Sequencially Occuring after Consumption of Organophosphorus Compound – A Case Report

Peter George
Peter George Father Muller Medical College, Father Muller Road, Mangalore -575002, S India.
Narasimha Hegde
Narasimha Hegde

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