Self subcutaneous injection of profenophos with delayed systemic toxicity: a case report
Keywords:
Subcutaneous injection, Organophosphate, Surgical debridement
Abstract
Suicidal poisoning by ingestion of organophosphate (OP) insecticide is a common mode of poisoning in our region. However, attempted suicide via the parenteral route has rarely been reported. We report a case of self subcutaneous injection of 50% profenophos in both hands, a rare and unusual way of intoxication. It causes local toxicity such as toxic cellulitis, abscess and necrosis with delayed systemic toxicity. He responded to parental antibiotics, surgical debridement, atropine and pralidoxime.
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References
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2. Shrestha B, Shakya R, et al. Subcutaneous organophospate poisoning – A case report. J Psychiatrists’ Association of Nepal. Vol .2, No.2. 2013:46-48. [http://www.nepjol.info/index.php/JPAN/article/download/9727/7995]
3. Sergio de Andrade Nishioka. Parentral injection of organophosphorous insecticide. Apros of two cases. Sao Paulo Med. J. Vol. 112 no. 2 Sao Paulo Apr/June 1994 [http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801994000200008]
4. Sangeetha KP et al. International journal of clinical cases and investigations. Volume 5 (Issue 3). 1st October 2013. 99:1056.[http://www.ijcci.info/issue-index/volume-5-issue-3/216-case-report/313-parenteral-organophosphorous-poisoning-a-case-series-?showall=1]
5. Pillay VV (2013). “Modern medical toxicology”. New Delhi: Jaypee Brothers Medical Publishers (P) LTD.
6. Judith E. Tintinalli (2011). “Tintinalli’s emergency medicine – 7th edition”. New Delhi: The McGraw-Hill Companies, Inc: 1298-1300.
CITATION
DOI: 10.17511/ijmrr.2016.i08.22
Published: 2016-08-31
How to Cite
1.
R. H, S. S. Self subcutaneous injection of profenophos with delayed systemic toxicity: a case report. Int J Med Res Rev [Internet]. 2016Aug.31 [cited 2024Nov.8];4(8):1420-4. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/673
Section
Case Report
OAI - Open Archives Initiative
