Malignant hyperthermia in endosulfan poisoning.
We are reporting a case of endosulfan poisoning, admitted in a state of altered consciousness, vomiting, and seizure. The diagnosis was based on history, physical examination and positive reports from toxicological screening. After 8 hrs of admission, a sudden rise in EtCO(2), respiratory rate, heart rate, blood pressure, and body temperature was noted. Masseter spasm was there and patient's elbow/knees could not be bent upon manipulation. Caffeine halothane contraction test later confirmed it to be malignant hyperthermia (MH). We suggest that if there is a sudden rise in body temperature, stiffness in limbs or massater spasm in a case of endosulfan poisoning, the diagnosis of MH should be considered as one possibility when etiology is not certain.
Department of Anesthesia and Intensive care, IMS, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
Gaurav
G
Jain
Dinesh K
DK
Singh
Ghanshyam
G
Yadav