title: Curious fatal intentional poisoning case with organophosphate pesticide.
abstract: BACKGROUND
  A case of organophosphorus intoxication with rebounding symptoms is reported.
  
  
  METHODS
  Case report of a 24-year-old man who poisoned himself with organophosphorus pesticide and was hospitalized in a 22-bed adult medical surgical intensive care unit at a tertiary care hospital. The patient had ingested organophosphorus pesticide after an argument and fight with his family and had presented typical clinical and biological manifestations of intoxication by this chemical. He was treated by mechanical ventilation, large fluid infusion, gastric lavage, as well as atropine and pralidoxime. After 48 hours of intensive care, the patient improved considerably, but shortly after this improvement, mental, hemodynamic, and respiratory status altered again. Gastric fibroscopy showed a small plastic bag containing powder in the stomach which was responsible for the rebounding symptoms of the intoxication.
  
  
  CONCLUSIONS
  Gastric fibroscopy can be helpful in case of organophosphorus intoxication with persistent or rebounding symptoms.
authors.affiliation: Service de Réanimation Médicale, CHU Habib Bourguiba, Sfax, Tunisia. kallelhat@yahoo.fr
authors.forename: Hatem
authors.initials: H
authors.lastname: Kallel
authors.forename: Amel
authors.initials: A
authors.lastname: Charfeddine
authors.forename: Nadia
authors.initials: N
authors.lastname: Khlaf-Bouaziz
authors.forename: Leila
authors.initials: L
authors.lastname: Hergafi
authors.forename: Mabrouk
authors.initials: M
authors.lastname: Bahloul
authors.forename: Chokri Ben
authors.initials: CB
authors.lastname: Hamida
authors.forename: Hedi
authors.initials: H
authors.lastname: Chelly
authors.forename: Adel
authors.initials: A
authors.lastname: Chaari
authors.forename: Noureddine
authors.initials: N
authors.lastname: Rekik
authors.forename: Mounir
authors.initials: M
authors.lastname: Bouaziz
mesh_terms: D000328:Adult; D016145:Endoscopy, Digestive System; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D062025:Organophosphate Poisoning; D010575:Pesticides / Q000506:poisoning*
chemical_list: D010575:Pesticides