title: Parenteral organophosphorus poisoning in a rural emergency department: a case report.
abstract: BACKGROUND
  Poisoning is a common presentation in the emergency department. Oral exposures to organophosphorus compounds are especially frequent in rural and agricultural regions of South Asia and throughout the developing world.
  
  
  METHODS
  Here we report a case of deliberate self-harm with an organophosphorus pesticide via the relatively uncommon parenteral route. A young woman injected herself with chlorpyriphos. Although the cholinergic effects were mild, cellulitis and abscess development were noted as a result.
  
  
  CONCLUSIONS
  Resource limited agricultural countries like Nepal present health care workers with numerous challenges in poisoning management. This case represents a rare but potentially morbid method of agrochemical poison exposure.
authors: Gyanendra
authors: G
authors: Malla
authors: Department of General practice and Emergency Medicine, B, P, Koirala Institute of Health Sciences, Dharan, Nepal. bibhusan117@hotmail.com.
authors: Bibhusan
authors: B
authors: Basnet
authors: Rais
authors: R
authors: Vohra
authors: Shyam Prasad
authors: SP
authors: Lohani
authors: Ajay
authors: A
authors: Yadav
authors: Vivek
authors: V
authors: Dhungana
mesh_terms: D004636:Emergency Service, Hospital; D006801:Humans; D010755:Organophosphates / Q000633:toxicity*; D011041:Poisoning / Q000628:therapy*; D019035:Rural Health Services
chemical_list: D010755:Organophosphates