International Journal of Medical Toxicology and Forensic Medicine

Vol. 4 No. 4(Autumn) (2014)

Organophosphate Toxicity Presenting with Cholinergic Crisis, Intermediate Syndrome and Delayed Polyneuropathy in Succession: a Rare Presentation

International Journal of Medical Toxicology and Forensic Medicine, Vol. 4 No. 4(Autumn) (2014), 5 December 2014 , Page 145-148
https://doi.org/10.22037/ijmtfm.v4i4(Autumn).5925

Abstract

Background: Organophosphate (OP) self poisoning is a major health hazard in a predominantly agrarian country like India. Acute cholinergic crisis and intermediate syndrome are well recognized manifestations of OP toxicity, delayed polyneuropathy being an unusual clinical event.

Case Report: We describe a 30-year-old male with suicidal chlorpyrifos poisoning who presented with cholinergic crisis; developed intermediate syndrome subsequently and ultimately three weeks later landed up with OP induced delayed polyneuropathy (OPIDPN).

Conclusion: This reported case emphasizes on the importance of strict vigilance and follow up in patients with OP toxicity in order to recognise and appropriately treat chronic toxicities like OPIDPN.

Keywords:
  • Chlorpyrifos
  • Cholinergic Crisis
  • Delayed Polyneuropathy
  • Intermediate Syndrome
  • Organophosphate

How to Cite

Malkarnekar, S., L, N., & Adam, S. R. (2014). Organophosphate Toxicity Presenting with Cholinergic Crisis, Intermediate Syndrome and Delayed Polyneuropathy in Succession: a Rare Presentation. International Journal of Medical Toxicology and Forensic Medicine, 4(4(Autumn), 145–148. https://doi.org/10.22037/ijmtfm.v4i4(Autumn).5925

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