1. Successful treatment of intermediate syndrome in a COVID‑19 patient with severe organophosphate toxicity.
- Author
-
Fouad, Marwa Mohammed, Zawilla, Nermin Hamdy, and Moubarez, Doaa Atef
- Subjects
- *
TREATMENT effectiveness , *KLEBSIELLA infections , *OCCUPATIONAL exposure , *MUSCLE weakness , *SYNDROMES , *MOUNTAIN sickness - Abstract
Organophosphate (OP) poisoning is one of the most common causes of poisoning in the world, due to its easy availability, low cost, and wide occupational exposure. It has a significant death and morbidity rate. Cholinergic syndrome, intermediate syndrome (IMS), and syndrome of delayed polyneuropathy are the three primary syndromes that define OP poisoning. We report the case of a 44‑year‑old male patient who had a history of OP poisoning by inhalation and later developed altered mental status (AMS). The patient transiently improved and regained consciousness following treatment with atropine and obidoxime. He deteriorated the following day with AMS and generalized muscle weakness consistent with IMS and was intubated for airway protection. Despite further complication by Klebsiella and COVID‑19 infections, he recovered to hospital discharge on day 14. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF