Case report, case study
https://doi.org/10.2478/aiht-2024-75-3781
Comparative analysis of organophosphorus versus carbamate pesticide poisoning: a case study
Jia-ding Xia
; Affiliated Hospital of Chengde Medical University, Intensive Care Unit, Chengde, China
Hui Wang
; Affiliated Hospital of Chengde Medical University, Intensive Care Unit, Chengde, China
Li-wei Hua
; Affiliated Hospital of Chengde Medical University, Intensive Care Unit, Chengde, China
Min Xu
; Affiliated Hospital of Chengde Medical University, Intensive Care Unit, Chengde, China
Xin Zheng
; Affiliated Hospital of Chengde Medical University, Intensive Care Unit, Chengde, China
Kun Zhang
; Affiliated Hospital of Chengde Medical University, Intensive Care Unit, Chengde, China
Abstract
Organophosphorus poisoning is a critical condition that can cause central nervous system depression, respiratory failure, and death early on. As its clinical manifestations closely resemble those of carbamate pesticide poisoning, the aim of this case study is to present a case of misdiagnosis, initially identifying carbofuran poisoning as organophosphate in a patient suspect of a heatstroke. We also present a case of intentional self-poisoning with organophosphate dichlorvos to underline the likelihood of pesticide poisoning in patients exhibiting acute cholinergic symptoms when the ingested substance is not known. In such cases, empirical treatment with atropine and oxime can be started pending timely differential diagnosis to adjust treatment as necessary.
Keywords
acetylcholinesterase; carbamate; carbofuran; cholinergic crisis; dichlorvos; intensive care; organophosphates
Hrčak ID:
315346
URI
Publication date:
19.3.2024.
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