Prolonged cholinergic crisis and compartment syndrome following subcutaneous injection of an organophosphate compound for suicide attempt.
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.
Bala
Indu
I
Department of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Pratap
Monica
M
Nakra
Dhiraj
D
Ramprabhu
T
T
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
D007306:Insecticides; D005284:Fenthion; D002802:Cholinesterases