Keywords: Adult, Atropine / administration & dosage, Atropine / therapeutic use, Critical Care, Humans, Insecticides / poisoning, Intermediate syndrome, Male, Muscarinic Antagonists / administration & dosage, Muscarinic Antagonists / therapeutic use, Organophosphorus Compounds, Poisoning / diagnosis; Poisoning / drug therapy, Pralidoxime Compounds / administration & dosage, Respiration, Artificial / methods
AbstractIntermediate syndrome is not an uncommon condition, it may occur following exposure to organophosphates, either accidental or suicidal. Picture of intermediate syndrome can develop within 24 to 96 h. We report the case of a 41-year-old male patient, who had a picture of intermediate syndrome, occurring with a delayed onset, than the usual, after exposure to an insecticide solution containing organophosphates. We stress that the patients who have recovered from initial acute cholinergic crisis, should be closely observed for the development of intermediate syndrome.
Abbreviations: ER - emergency room; GCS - Glasgow Coma Scale; ICU - intensive care unit; IMS - Intermediate syndrome
Key words: Adult; Atropine / administration & dosage; Atropine / therapeutic use; Critical Care; Humans; Insecticides / poisoning; Intermediate syndrome; Male; Muscarinic Antagonists / administration & dosage; Muscarinic Antagonists / therapeutic use; Organophosphorus Compounds; Poisoning / diagnosis; Poisoning / drug therapy; Pralidoxime Compounds / administration & dosage; Respiration, Artificial / methods
Citation: Ayoub AH, Soliman MI, Hussein MA, Rageh MT. Delayed onset intermediate syndrome after organophosphate poisoning. Anaesth. pain intensive care 2022;26(4):551-553; DOI: 10.35975/apic.v26i4.1964
Received: June 02, 2022; Reviewed: July 11,2022; Accepted: July 11,2022
Author BiographiesAhmed Hany Ayoub
Ahmed Hany Ayoub, MD, Lecturer of Anesthesia and Intensive Care, Ain Shams university, Cairo, Egypt
Mohamed I. Soliman
Mohamed Ibrahim Soliman, MSc, EDAIC, Assistant Lecturer of Anesthesia and Intensive Care, Ain Shams university, Cairo, Egypt
Mohamed A. Hussein
Mohamed Ahmed Hussein, MSc, EDAIC, Assistant Lecturer of Anesthesia and Intensive Care, Ain Shams university, Cairo, Egypt
Mohammed T. Rageh
Mohammed Taher Rageh, MSc, EDAIC, Anesthesia and Intensive Care, Al-Azhar university, Cairo, Egypt
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