Deadly drop--cholinergic syndrome from wearing a laundered uniform.
Unintentional organophosphate compound poisoning, although known, contamination of organophosphate compound through laundered uniform and subsequent transcutaneous absorption, in 30 children is reported herewith for its rarity. Emergency physicians have to recognize such entities clinically, confirm by laboratory means wherever possible, and intervene with appropriate measures.
Department of Emergency and Critical Care Medicine, Sri Gokulam Hospital and Research Institute, Salem, Tamil Nadu, India. maniansenthil@yahoo.co.in
Subramanian
S
Senthilkumaran
Krishnanswamy
K
SathyaPrabhu
Namasivayam
N
Balamurugan
Ponniah
P
Thirumalaikolundusubramanian
D000293:Adolescent; D001285:Atropine / Q000627:therapeutic use; D001919:Bradycardia / Q000139:chemically induced* / Q000188:drug therapy; D002648:Child; D003020:Clothing; D003131:Combined Modality Therapy; D003244:Consciousness Disorders / Q000139:chemically induced*; D004196:Disease Outbreaks; D004866:Equipment Contamination; D005440:Fluid Therapy; D005767:Gastrointestinal Diseases / Q000139:chemically induced* / Q000628:therapy; D006801:Humans; D007194:India / Q000453:epidemiology; D007306:Insecticides / Q000493:pharmacokinetics / Q000506:poisoning*; D007846:Laundering / Q000379:methods; D008297:Male; D010278:Parathion / Q000493:pharmacokinetics / Q000506:poisoning*; D006109:Poaceae; D011041:Poisoning / Q000188:drug therapy / Q000453:epidemiology; D012112:Residential Facilities; D012121:Respiration, Artificial; D012131:Respiratory Insufficiency / Q000139:chemically induced* / Q000628:therapy; D012574:Schools; D012640:Seizures / Q000139:chemically induced*; D012869:Skin Absorption; D014549:Urinary Incontinence / Q000139:chemically induced
D007306:Insecticides; D010278:Parathion; D001285:Atropine