title: Atropine poisoning mimicking septicemia.
abstract: A young female was admitted in medical emergency room with fever, tachycardia and breathing difficulty. A provisional diagnosis of septicemia was made and empirical antibiotics were started. The patient required intubation and assisted ventilation. The patient recovered within 72 hours completely except bilateral mid-dilated fixed pupils. Atropine was not administered in the hospital. All blood investigations and infection screening tests were negative. After detailed history, examination and discussions, atropine poisoning was suspected which could explain all the signs and symptoms of the patient. This highlights the examination of pupillary reflexes in emergency room and meticulous clinical examination.
authors.affiliation: Peoples College of Medical Sciences & Research Centre, Bhopal, India.
authors.forename: Prakashchand
authors.initials: P
authors.lastname: Agarwal
authors.affiliation: Peoples College of Medical Sciences & Research Centre, Bhopal, India.
authors.forename: Shaifali
authors.initials: S
authors.lastname: Bansal
authors.affiliation: Peoples College of Medical Sciences & Research Centre, Bhopal, India.
authors.forename: Anjali
authors.initials: A
authors.lastname: Sharma
authors.affiliation: Peoples College of Medical Sciences & Research Centre, Bhopal, India.
authors.forename: Vijay K
authors.initials: VK
authors.lastname: Saini
keywords: Atropine poisoning; Differential diagnosis of septicemia