Organophosphate Poisoning presenting with Delayed Cholinergic Crisis and Intermediate Syndrome-A Case Report

Amiya Sindhu Das; Dr. Samiksha Singh

Volume : VII, Issue : V, May - 2018

Organophosphate Poisoning presenting with Delayed Cholinergic Crisis and Intermediate Syndrome-A Case Report

Amiya Sindhu Das, Dr. Samiksha Singh

Abstract :

Organophosphate poisoning for suicidal intentis common in Indianrural areas. Hence, it is important for the caregivers to be able to managesuch cases accurately in order to prevent complications. The patient reported here is a 22 years old male who ingested organophosphate insecticide, Monocrotophos, leading to cholinergic crisis with Intermediate syndrome manifested as respiratory depression evidenced by weakness of respiratory muscles and neck flexors, tachypnea and continuous drop in oxygen saturation in spite of appropriate intervention. This case report highlights that patients with severe organophosphate poisoning presenting with delayed cholinergic manifestations can have simultaneous occurrence of Intermediate syndrome. This report also aims to alert physicians that early diagnosis and prompt treatment is key to managing such difficult cases in spite atypical presentation and limited resources. Therefore, it is our recommendation that health care providers should be aware of such presentation, complications and their manifestations to facilitate effective management.