Volume : VI, Issue : II, February - 2016

ACUTE ORGANOPHOSPHORUS POISONING COMPLICATED WITH ACUTE CORONARY SYNDROME (NSTEMI) AND RIGHT ATRIAL THROMBUS: A CASE REPORT

Rohitash Kularia, Sharanbasu Diggi, Liyakat Ali Gauri

Abstract :

We are reporting a case of 28yr old male with alleged history of consumption OP poisoning (Chlorpyriphos 20%) who presented to ER with cholinergic symptoms of vomiting and constricted pupil, although his chest was clear with no signs of aspiration and hemodynamically stable and maintained consciousness. He was started with standard regime of treatment of OP Poisoning, but developed respiratory distress, hypoxemia and fresh ECG changes after 30hrs of admission to hospital suggestive of acute coronary syndrome/NSTEMI. Patient recovered with intensive care and supportive treatment. Organophosphorus poisoning is amongst the most commonly consumed poison due to its easy availability in Indian clinical setting. Complications may be acute or late. It mainly involves respiratory, cardiac and neurological. Cardiac complications are potentially lethal and understanding them and clinical suspicion in any susceptible individual can change the morbidity and mortality outcome. Cardiac complications can be due to treatment itself or due to compounds causing rhythms disorders to ischemic abnormalities. Hence, it is important to suspect cardiac ischemia as an early complication although rare, in case patient develops the symptoms for effective management.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

ROHITASH KULARIA, SHARANBASU DIGGI, LIYAKAT ALI GAURI Acute Organophosphorus Poisoning Complicated with Acute Coronary Syndrome (Nstemi) and right Atrial Thrombus: A case Report Indian Journal of Applied Research, Vol.6, Issue : 2 February 2016

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