Year 2021 / Volume 113 / Number 7
Letter
Gastric caustic injury after organophosphate poisoning

551

DOI: 10.17235/reed.2020.7540/2020

Miguel Mascarenhas Saraiva, Tiago Filipe Ribeiro, Filipe Vilas Boas, Guilherme Macedo,

Abstract
An 83-year-old male was brought to the Emergency Room after ingesting an unknown dose of dimethoate, an organophosphate pesticide. He had been previously diagnosed with depression but there were no previous suicide attempts. The admission Glasgow Coma Scale score was 3 and he had miotic pupils and copious oropharyngeal secretions. The patient was hemodynamically stable, mildly tachypneic (respiratory rate 22/minute) and nonfebrile. Laboratory workup revealed a normal complete blood count (Hb 15 g/dl, platelets 178,000/µl), normal liver tests and no coagulopathy. Low acetylcholinesterase levels confirmed organophosphate poisoning. He was admitted to the Intensive Care Unit (ICU) under treatment with obidoxime.
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Mascarenhas Saraiva M, Ribeiro T, Vilas Boas F, Macedo G. Gastric caustic injury after organophosphate poisoning. 7540/2020


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Publication history

Received: 20/09/2020

Accepted: 28/09/2020

Online First: 03/12/2020

Published: 07/07/2021

Article Online First time: 74 days

Article editing time: 290 days


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