M. Abdel-satar, M. Magdi, iman abdel-ghany, D. Galal
{"title":"新生儿有机磷中毒表现为急性呼吸窘迫的病例研究","authors":"M. Abdel-satar, M. Magdi, iman abdel-ghany, D. Galal","doi":"10.21608/ejfsat.2022.34634.1157","DOIUrl":null,"url":null,"abstract":"Introduction: Organophosphorus Compounds Intoxication [OPCI] 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 organophosphorus insecticide. Treatment: Management of OPCI 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 OPCI. And it could be used for diagnosis and treatment monitoring.","PeriodicalId":22435,"journal":{"name":"The Egyptian Journal of Forensic Sciences and Applied Toxicology","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"A CASE STUDY OF NEONATAL ORGANOPHOSPHATE POISONING PRESENTED AS ACUTE RESPIRATORY DISTRESS\",\"authors\":\"M. Abdel-satar, M. Magdi, iman abdel-ghany, D. Galal\",\"doi\":\"10.21608/ejfsat.2022.34634.1157\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Introduction: Organophosphorus Compounds Intoxication [OPCI] 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 organophosphorus insecticide. Treatment: Management of OPCI 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 OPCI. And it could be used for diagnosis and treatment monitoring.\",\"PeriodicalId\":22435,\"journal\":{\"name\":\"The Egyptian Journal of Forensic Sciences and Applied Toxicology\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2022-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The Egyptian Journal of Forensic Sciences and Applied Toxicology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.21608/ejfsat.2022.34634.1157\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Egyptian Journal of Forensic Sciences and Applied Toxicology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.21608/ejfsat.2022.34634.1157","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
A CASE STUDY OF NEONATAL ORGANOPHOSPHATE POISONING PRESENTED AS ACUTE RESPIRATORY DISTRESS
Introduction: Organophosphorus Compounds Intoxication [OPCI] 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 organophosphorus insecticide. Treatment: Management of OPCI 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 OPCI. And it could be used for diagnosis and treatment monitoring.