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262060

A CASE STUDY OF NEONATAL ORGANOPHOSPHATE POISONING PRESENTED AS ACUTE RESPIRATORY DISTRESS

Article

Last updated: 22 Jan 2023

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Tags

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Abstract

Introduction: Organophosphate poisoning [OP] is a likely fatal but completely manageable condition that is still quite common in our country. Early diagnosis is crucial in preventing fatality. Although rarely reported, it occurs in infants. However, history may not be forthcoming and initial presentation often deceptive.
Case report: We report a case of neonate admitted to the neonatal intensive care unit (NICU) of Abu El- Reish Hospital; Faculty of Medicine; Cairo University with respiratory distress, pinpoint pupils and hypotonia. The symptoms appeared after spraying the home by insecticides. Plasma pseudocholinesterase level appeared to be low, consistent with acute intoxication with organophosphate insecticide.
Treatment: Management of organophosphate poisoning consists of airway management, administration of oxygen and fluid, as well as atropine in increasing doses and obidoxime (Acetylcholine esterase reactivator). Plasma pseudocholinesterase analysis is a cheap and an easy measurement for organophosphate insecticides intoxications and could be used for diagnosis and treatment monitoring.
Keywords:
Organophosphorus compound; pseudocholinesterase; intoxication; neonate

DOI

10.21608/ejfsat.2022.34634.1157

Keywords

Organophosphorus compound, pseudocholinesterase, Intoxication, Neonate

Authors

First Name

Mokhtar

Last Name

Abdel-satar

MiddleName

-

Affiliation

faculty of medicine ,cairo university

Email

drmokhtar@hotmail.com

City

Cairo

Orcid

0000-0002-6319-9366

First Name

mai

Last Name

magdi

MiddleName

-

Affiliation

faculty of medicine Cairo university

Email

dr.maimagdi_83@kasralainy.edu.eg

City

-

Orcid

-

First Name

iman

Last Name

abdel-ghany

MiddleName

-

Affiliation

faculty of medicine Cairo university

Email

mokhtar.fathy@kasralainy.edu.eg

City

-

Orcid

-

First Name

dina

Last Name

galal

MiddleName

-

Affiliation

faculty of medicine Cairo university

Email

dinagalal@hotmail.com

City

-

Orcid

-

Volume

22

Article Issue

3

Related Issue

36933

Issue Date

2022-09-01

Receive Date

2021-07-05

Publish Date

2022-09-01

Page Start

27

Page End

32

Print ISSN

1687-0875

Online ISSN

2535-1915

Link

https://ejfsat.journals.ekb.eg/article_262060.html

Detail API

https://ejfsat.journals.ekb.eg/service?article_code=262060

Order

262,060

Type

Case Reports

Type Code

448

Publication Type

Journal

Publication Title

The Egyptian Journal of Forensic Sciences and Applied Toxicology

Publication Link

https://ejfsat.journals.ekb.eg/

MainTitle

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Details

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Article

Created At

22 Jan 2023