title: Prolonged cholinergic crisis and compartment syndrome following subcutaneous injection of an organophosphate compound for suicide attempt.
abstract: A case of poisoning with highly lipid soluble organophosphate compound, fenthion is reported in which cholinergic crisis recurred upto 25 days following a suicide attempt. Subcutaneous injection of fenthion in the antecubital fossa by the patient produced massive swelling, cellulitis and compartment syndrome of the left arm. Emergency fasciotomy helped in restoration of circulation and saved the limb from being amputated.
authors.affiliation: Department of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Indu
authors.initials: I
authors.lastname: Bala
authors.forename: Monica
authors.initials: M
authors.lastname: Pratap
authors.forename: Dhiraj
authors.initials: D
authors.lastname: Nakra
authors.forename: T
authors.initials: T
authors.lastname: Ramprabhu
mesh_terms: D000328:Adult; D001342:Autonomic Nervous System Diseases / Q000139:chemically induced*; D002802:Cholinesterases / Q000097:blood; D003161:Compartment Syndromes / Q000139:chemically induced* / Q000601:surgery; D000071938:Fasciotomy; D005260:Female; D005284:Fenthion / Q000008:administration & dosage / Q000009:adverse effects*; D053593:Forensic Toxicology; D006801:Humans; D007279:Injections, Subcutaneous; D007306:Insecticides / Q000008:administration & dosage / Q000009:adverse effects*; D013406:Suicide, Attempted
chemical_list: D007306:Insecticides; D005284:Fenthion; D002802:Cholinesterases