Case Report
Year: 2019 | Month: February | Volume: 6 | Issue: 2 | Pages: 156-158
Parenteral Dichlorvos Poisoning, an Unusual Way of Intoxication
Professor Dr V. N. Mishra1, Dr. S. Varma2, Dr. A. Toppo3, Dr. M. Patil4, Dr. A. Shadani5
Department of Medicine
Pt.J.N.M. College, Pt.DDU University, Raipur, India.
Corresponding Author: Dr. A. Shadani
ABSTRACT
Organophosphate (OP) poisoning is very common form of poisoning in Indian population because of its availability and easy access. Intoxication occurs following the absorption of OP agents through gastrointestinal tract, skin and respiratory tract and rarely by intramuscular or intravenous route. The clinical features depend on the amount of the poison consumed, it’s concentration, the route of administration and the time of instituting therapy. Suicidal poisoning by ingestion of organophosphate (OP) insecticides represents a serious emergency with a high mortality rate. However, attempted suicide via the parenteral route has rarely been reported.
The present study reports a case of self-injection of an organophosphorus insecticide dichlorvos into proximal region of the left arm. The patient developed black discoloration at the injection site & cellulitis swelling of the affected limb following injection. Conservative management resulted in improvement of symptoms of the patient within a 8-10 days, but subsequent follow up after 7 days showed abscess at site of injection which required.
Key words: Op-organophosphate,parenteral (administered elsewhere in body then the mouth)
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