Affiliation:
1. Resident Doctor, Department of General Medicine, IGGMC and Mayo Hospital, Nagpur
2. Associate Professor, Department of General Medicine, IGGMC and Mayo Hospital, Nagpur
Abstract
Organophosphorus (OP) pesticide poisoning which is common in rural India, usually presents with acute cholinergic crisis, which is due to
increased acetylcholine because of the inhibition of the enzyme acetyl-cholinesterase. Central Nervous System (CNS) manifestations are rare, and
even rarer is the presentation with extrapyramidal symptoms. The authors report a case of organophosphorus poisoning presenting with torticollis 4
days after organophosphorus exposure. The patient had inhalational exposure to organophosphorus compound while spraying in the elds and
developed intermediate syndrome 4 days later. But rather than having respiratory depression, the patient developed torticollis. The patient was
successfully managed with Inj Pralidoxime and supportive care. We wish to bring awareness in the medical profession and the general public
regarding this rare but life threatening presentation of organophosphorus poisoning.
Subject
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