Organophosphate poisoning in pregnancy: a case report.
A 42-year-old pregnant woman (26 weeks of gestation, G(4)P(0+3)) presented at the emergency department with a two-hour history of dizziness, blurred vision and repeated vomiting. These symptoms started during the use of an undiluted insecticide liquid (diazinon 60 EC) while cleaning a small non-aired bathroom. After clinical and laboratory confirmation for organophosphate poisoning (plasma pseudocholinesterase levels 161 U/l), treatment with atropine and pralidoxime was started. She recovered within 7 days and delivered a healthy baby 12 weeks later (Apgar score 9 and 10) by elective cesarean section. The child showed no signs or symptoms of organophospate, atropine or pralidoxime exposure.
Kamha
Ahmed A
AA
Medical Intensive Care Unit, Hamad Medical Corporation, PO Box 3050, Doha, State of Qatar.
Al Omary
Ibrahim Y M
IY
Zalabany
Hisham A
HA
Hanssens
Yolande
Y
Adheir
Fathia S
FS
D000328:Adult; D000931:Antidotes / Q000627:therapeutic use; D001034:Apgar Score; D001285:Atropine / Q000627:therapeutic use; D003976:Diazinon / Q000506:poisoning*; D005260:Female; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D011041:Poisoning / Q000188:drug therapy; D011220:Pralidoxime Compounds / Q000627:therapeutic use; D011247:Pregnancy; D011248:Pregnancy Complications / Q000188:drug therapy*; D011256:Pregnancy Outcome
D000931:Antidotes; D011220:Pralidoxime Compounds; D001285:Atropine; C028797:pralidoxime; D003976:Diazinon