CASE REPORT
Year : 2022 | Volume
: 20 | Issue : 3 | Page : 187--190
Dimethoate self-poisoning–Induced severe hypotension
Anand M Tiwari, Kapil G Zirpe, Rustom S Wadia, Sushma K Gurav, Abhijit M Deshmukh
Department of Neurointensive Care and Trauma Unit, Ruby Hall Clinic, Pune, Maharashtra, India
Correspondence Address:
Dr. Anand M Tiwari
Department of Neurointensive Care and Trauma Unit, Ruby Hall Clinic, Pune, Maharashtra
India
Intentional ingestion of organophosphorus compound (OP) poisoning continues to be a frequent reason for critical care admission in India. For the past 6 decades, the OP compounds used in India for the poisoning had effects on cholinergic and neurogenic fibers producing the respiratory and neurologic presentation. Recently, a less frequent OP poison has appeared which acts on cardiac sympathetic fibers with bradycardia and hypotension as presenting features. The shock which was nonresponsive to dopamine/dobutamine was identified as a major cause of death in patients with dimethoate poisoning in a large prospective cohort study. Severe dimethoate poisoning in contrast to other OP compounds has a high case fatality rate. There have been case reports from outside India. We report the first two cases with successful treatment of this toxicity in India.
How to cite this article:
Tiwari AM, Zirpe KG, Wadia RS, Gurav SK, Deshmukh AM. Dimethoate self-poisoning–Induced severe hypotension.Curr Med Issues 2022;20:187-190
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How to cite this URL:
Tiwari AM, Zirpe KG, Wadia RS, Gurav SK, Deshmukh AM. Dimethoate self-poisoning–Induced severe hypotension. Curr Med Issues [serial online] 2022 [cited 2023 Apr 1 ];20:187-190
Available from: https://www.cmijournal.org/article.asp?issn=0973-4651;year=2022;volume=20;issue=3;spage=187;epage=190;aulast=Tiwari;type=0 |
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