title: Parasuicidal poisoning by intramuscular injection of insecticide: A case report.
abstract: Suicidal poisoning by ingestion of organophosphate (OP) insecticides represents a serious emergency with a high mortality rate. However, attempted suicide via the parenteral route has rarely been reported. The present study reports a case of parasuicide by self-injection of an organophosphorus insecticide (phoxim, phenylglyoxylonitrile oxime O,O-diethyl phosphorothioate) into the distal region of the left arm. The patient developed necrosis at the injection site and an abscess of the affected limb following injection. A fasciotomy and surgical debridement resulted in the symptoms of the patient disappearing within a few days and were vital in shortening the course of the disease.
authors.affiliation: Department of Poisoning and Occupational Disease, Qilu Hospital of Shandong University, Jinan, Shandong 250012, P.R. China.
authors.forename: Huimin
authors.initials: H
authors.lastname: Liu
authors.forename: Baotian
authors.initials: B
authors.lastname: Kan
authors.forename: Xiangdong
authors.initials: X
authors.lastname: Jian
authors.forename: Wei
authors.initials: W
authors.lastname: Zhang
authors.forename: Qian
authors.initials: Q
authors.lastname: Zhou
authors.forename: Jieru
authors.initials: J
authors.lastname: Wang
keywords: injection; intramuscular; organophosphate insecticide; parasuicide