Toxic megacolon as a rare complication following atropine therapy due to organophosphate poisoning: A case report

Author:

Mostafazadeh Babak1,Farzaneh Esmaeil2,Paeezi Maryam3,Nikkhah Farahnaz4

Affiliation:

1. Department of Forensic Medicine and Toxicology, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2. Department of Forensic Medicine and Toxicology, Ardabil University of Medical Sciences, Ardabil, Iran

3. Fellowship in Clinical Toxicology, Tabriz University of Medical Sciences,Tabriz, Iran

4. Rasoul-e-Akram Hospital Clinical Research Development Center, Iran University of Medical Sciences, Tehran, Iran

Abstract

The main therapeutic basis for a case of organophosphate poisoning is a combination therapy which includes atropine as an anticholinergic drug and pralidoxime. If the poisoning is severe, a high dose of this combination of medicines may be needed, but this may cause serious side effects: paralytic ileus or even megacolon; however, these gastrointestinal events are very rare. Here, we report a case of organophosphate poisoning where atropine therapy was given and led to drug-associated toxic megacolon.

Publisher

SAGE Publications

Subject

General Medicine

Cited by 4 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Enteral nutrition in mechanically ventilated patients after organophosphate poisoning;Journal of The Korean Society of Clinical Toxicology;2024-06-30

2. Duodenal perforation after organophosphorus poisoning: A case report;World Journal of Clinical Cases;2021-09-26

3. Atropine;Reactions Weekly;2018-10

4. Clinical uses and toxicity of Atropa belladonna; an evidence based comprehensive retrospective review (2003-2017);Bioscience Biotechnology Research Communications;2018-01-25

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