scholarly journals Management of self-inflicted oral organophosphate poisoning in adolescence - a case report

2021 ◽  
pp. 500-502
Author(s):  
Sattoju Nithish ◽  
Jagini Shiva Prasad ◽  
Aakaram Sujala ◽  
Endla Jagadish Kumar

Organophosphate (OP) poisoning is more common in developing countries such as India. Here, we report a case of self-inflicted oral OP poisoning (monocrotophos) by an adolescent male patient who presented to the emergency department of a tertiary care hospital with tachycardia and frothing without seizure episode (non-linear presentation in OP poisoning). Based on the evidence of consumption of OP compound, the management of the patient went as planned and guarded with i.v. administration of pralidoxime and atropine. Gastric lavage was done soon after the patient came to the hospital and was admitted to the Intensive care unit for 5 days and in the general ward for the next 24 h. The patient was discharged from the hospital in a hemodynamically stable state after 6 days of hospital stay by managing the cardiac, muscarinic, and nervous system events as detailed in this case report.

2021 ◽  
pp. 231-233
Author(s):  
Siddharth Panikkar ◽  
Gigy Varkey Kuruttukulam ◽  
Manju Manmadhan ◽  
Jithin Antony Bose ◽  
Jacob Chacko ◽  
...  

Since its debut in the 1960s, the broad use and availability of benzodiazepines has mirrored the increased incidence of overdose cases. Due to its non-specic presentation, there is often a delay in diagnosis. We report a case of Benzodiazepine toxicity in a 70-year-old man who presented to us in a comatose state. He was evaluated at another hospital initially and was intubated in view of his low Glasgow Coma scale. A CT brain plain study was done suspecting a basilar artery thrombus and he was referred to us for Neuro-Interventional procedures. As radiological, laboratory and electrophysiological investigations were unremarkable a provisional diagnosis of drug intoxication was made after patient medication review and a trial of Flumazenil was given, after which the patient had improved dramatically. Flumazenil is not routinely used due to fears of withdrawal seizures and its high cost. It also has no effect on reversing sedation caused by barbiturates, ethanol, or opioids. The antidote has a favorable risk-benet ratio when dosed appropriately and can be a helpful diagnostic tool after ruling out the more common causes of acute sensorium loss as demonstrated by this case report.


2017 ◽  
Vol 4 (3) ◽  
pp. C90-C93
Author(s):  
Ganesh R Kshirsagar ◽  
ChetanSudhakar Chaudhari ◽  
Prashant V Kumavat ◽  
Nikita Patel ◽  
Nitin M Gadgil

2021 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
BASSEY EKENG ◽  
Rita Oladele ◽  
Chioma Osuagwu ◽  
Sunday Omisakin ◽  
Oluwadamilola Apanisile ◽  
...  

Author(s):  
Niranjan Nayak ◽  
Nisha Baral ◽  
Rajani Shrestha ◽  
Ranjana Parajuli ◽  
Deependra Hamal ◽  
...  

Author(s):  
Chhaya V. Verma ◽  
Chhaya V. Verma ◽  
Suresh K. Patel ◽  
Gayatri S. Jere ◽  
Rakesh Bhadade

Coronavirus disease-19 (COVID-19) has affected people of various age groups with symptoms ranging from asymptomatic or mild to severe respiratory failure, with mild symptoms requiring little or no medical intervention whereas severe symptoms requiring hospitalisation and prompt medical management. The following case report illustrates about recovery of a patient with severe symptoms of COVID-19 in a COVID dedicated tertiary care hospital run by the Municipal Corporation of Greater Mumbai. Physiotherapy has long been a part of multidisciplinary team in management of patients with severe respiratory illnesses. The report mainly presents about the Physiotherapy management undertaken for the above-mentioned patient parallelly to the Medical management aiding in recovery of the patient.


Author(s):  
Pilar Solves ◽  
Susana Tur ◽  
Inés Gómez-Seguí ◽  
María Viel ◽  
Juan Eiris ◽  
...  

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