A CASE STUDY OF NEONATAL ORGANOPHOSPHATE POISONING PRESENTED AS ACUTE RESPIRATORY DISTRESS | ||||
| The Egyptian Journal of Forensic Sciences and Applied Toxicology | ||||
| Volume 22, Issue 3, September 2022, Page 27-32 PDF (359.67 K) | ||||
| Document Type: Case Reports | ||||
| DOI: 10.21608/ejfsat.2022.34634.1157 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Mokhtar Abdel-satar   1; mai magdi2; iman abdel-ghany2; dina galal2
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| 1faculty of medicine ,cairo university | ||||
| 2faculty of medicine Cairo university | ||||
| Abstract | ||||
| Introduction: Organophosphate poisoning [OP] is a likely fatal but completely manageable condition that is still quite common in our country. Early diagnosis is crucial in preventing fatality. Although rarely reported, it occurs in infants. However, history may not be forthcoming and initial presentation often deceptive. Case report: We report a case of neonate admitted to the neonatal intensive care unit (NICU) of Abu El- Reish Hospital; Faculty of Medicine; Cairo University with respiratory distress, pinpoint pupils and hypotonia. The symptoms appeared after spraying the home by insecticides. Plasma pseudocholinesterase level appeared to be low, consistent with acute intoxication with organophosphate insecticide. Treatment: Management of organophosphate poisoning consists of airway management, administration of oxygen and fluid, as well as atropine in increasing doses and obidoxime (Acetylcholine esterase reactivator). Plasma pseudocholinesterase analysis is a cheap and an easy measurement for organophosphate insecticides intoxications and could be used for diagnosis and treatment monitoring. Keywords: Organophosphorus compound; pseudocholinesterase; intoxication; neonate | ||||
| Keywords | ||||
| Organophosphorus compound; pseudocholinesterase; intoxication; neonate | ||||
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