Curious fatal intentional poisoning case with organophosphate pesticide.
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.
Kallel
Hatem
H
Service de Réanimation Médicale, CHU Habib Bourguiba, Sfax, Tunisia. kallelhat@yahoo.fr
Charfeddine
Amel
A
Khlaf-Bouaziz
Nadia
N
Hergafi
Leila
L
Bahloul
Mabrouk
M
Hamida
Chokri Ben
CB
Chelly
Hedi
H
Chaari
Adel
A
Rekik
Noureddine
N
Bouaziz
Mounir
M
D000328:Adult; D016145:Endoscopy, Digestive System; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D062025:Organophosphate Poisoning; D010575:Pesticides / Q000506:poisoning*
D010575:Pesticides