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Prolonged cholinergic crisis and compartment syndrome following subcutaneous injection of an organophosphate compound for suicide attempt.

Abstract
A case of poisoning with highly lipid soluble organophosphate compound, fenthion is reported in which cholinergic crisis recurred upto 25 days following a suicide attempt. Subcutaneous injection of fenthion in the antecubital fossa by the patient produced massive swelling, cellulitis and compartment syndrome of the left arm. Emergency fasciotomy helped in restoration of circulation and saved the limb from being amputated.
AuthorsIndu Bala, Monica Pratap, Dhiraj Nakra, T Ramprabhu
JournalJournal of forensic and legal medicine (J Forensic Leg Med) Vol. 15 Issue 4 Pg. 256-8 (May 2008) ISSN: 1752-928X [Print] England
PMID18423360 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Insecticides
  • Fenthion
  • Cholinesterases
Topics
  • Adult
  • Autonomic Nervous System Diseases (chemically induced)
  • Cholinesterases (blood)
  • Compartment Syndromes (chemically induced, surgery)
  • Fasciotomy
  • Female
  • Fenthion (administration & dosage, adverse effects)
  • Forensic Toxicology
  • Humans
  • Injections, Subcutaneous
  • Insecticides (administration & dosage, adverse effects)
  • Suicide, Attempted

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