[Attempted suicide by intravenous injection of metasystox].
A 27-year old man was admitted to the hospital after having attempted suicide by injection of 30 ml of metasystox (demeton-s-methyl), an organophosphate compound, in a cubital vein of the left arm. He was suffering from the typical cholinergic symptoms. Local examination of the injection site revealed a local inflammation extending from the middle of the left upper arm to the distal forearm. Surgical débridement became necessary. In the third week of treatment he developed a rhabdomyolysis (CK 66.300 U/l) with an acute renal failure and needed haemodialysis. Later he showed signs of an intermediate syndrome.
Volk
O
O
Medizinische Klinik I, Klinikum Krefeld, Krefeld, Germany. o.volk@freenet.de
Reith
S
S
Saehn
C
C
Haars
P
P
Bach
D
D
Klues
H G
HG
D058186:Acute Kidney Injury / Q000139:chemically induced / Q000628:therapy; D000328:Adult; D006801:Humans; D007275:Injections, Intravenous; D007306:Insecticides / Q000008:administration & dosage / Q000506:poisoning*; D008297:Male; D009946:Organothiophosphorus Compounds / Q000008:administration & dosage / Q000506:poisoning*; D011041:Poisoning / Q000628:therapy*; D012206:Rhabdomyolysis / Q000139:chemically induced / Q000628:therapy; D013406:Suicide, Attempted
D007306:Insecticides; D009946:Organothiophosphorus Compounds; C026086:methyl demeton