title: Intermediate syndrome in organophosphorous poisoning--a case report.
abstract: A case of organophosphorous poisoning in a 29 year old male who developed intermediate syndrome manifested by features of respiratory depression as evidenced by marked weakness of the respiratory muscles, tachypnoea, and drop in oxygen saturation despite reversal of nicotinic and muscarinic effects of organophosphorous poisoning. The case highlights its early recognition and prompt institution of mechanical ventilation with continuation of anticholinergic drugs. The mechanical ventilation had to be continued for 9 days with successful outcome.
authors.affiliation: Manipal College of Medical Sciences, Pokhara, Nepal. sudipparajuli@gmail.com
authors.forename: S
authors.initials: S
authors.lastname: Parajuli
authors.forename: J
authors.initials: J
authors.lastname: Jayakumar
authors.forename: S K
authors.initials: SK
authors.lastname: Dham
mesh_terms: D000328:Adult; D002800:Cholinesterase Inhibitors / Q000506:poisoning*; D004006:Dichlorvos / Q000506:poisoning*; D006801:Humans; D008297:Male; D010575:Pesticides / Q000506:poisoning*; D012131:Respiratory Insufficiency / Q000139:chemically induced / Q000628:therapy; D013406:Suicide, Attempted; D013577:Syndrome
chemical_list: D002800:Cholinesterase Inhibitors; D010575:Pesticides; D004006:Dichlorvos