Organophosphate poisoning from inappropriate topical use of malathion pesticide: A case report
A 43-year-old male with no past medical history presented to our emergency department with vomiting, diarrhea, and abdominal pain of 3 h’ duration. Upon further questioning, he revealed that he had been applying malathion pesticide over his body for the past 3 days for self-diagnosed scabies. He was...
Main Authors: | , |
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Format: | Article |
Language: | English |
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SAGE Publishing
2022-06-01
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Series: | Proceedings of Singapore Healthcare |
Online Access: | https://doi.org/10.1177/20101058211068593 |
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author | Joe Jia-Liang Chua Kaibin K. Kuan |
author_facet | Joe Jia-Liang Chua Kaibin K. Kuan |
author_sort | Joe Jia-Liang Chua |
collection | DOAJ |
description | A 43-year-old male with no past medical history presented to our emergency department with vomiting, diarrhea, and abdominal pain of 3 h’ duration. Upon further questioning, he revealed that he had been applying malathion pesticide over his body for the past 3 days for self-diagnosed scabies. He was otherwise afebrile and hemodynamically stable, and the physical examination was unremarkable. The patient was diagnosed with organophosphate poisoning and treated symptomatically due to the lack of worrying cardiorespiratory or neurologic sequelae. He was subsequently admitted to the general ward, where his symptoms abated within 4 h. Serum and red blood cell cholinesterase tests sent on admission returned on day three and were significantly decreased (serum cholinesterase 2131 U/L, reference range 4700–12000 U/L; red blood cell cholinesterase 3365 U/L, reference range 7700–14600 U/L). He was discharged home well and stable on day 5 of admission, with outpatient psychiatric follow-up for likely delusional parasitosis. |
first_indexed | 2024-04-12T18:09:13Z |
format | Article |
id | doaj.art-716b375eb7384d12ad1b9a78d181edb7 |
institution | Directory Open Access Journal |
issn | 2059-2329 |
language | English |
last_indexed | 2024-04-12T18:09:13Z |
publishDate | 2022-06-01 |
publisher | SAGE Publishing |
record_format | Article |
series | Proceedings of Singapore Healthcare |
spelling | doaj.art-716b375eb7384d12ad1b9a78d181edb72022-12-22T03:21:53ZengSAGE PublishingProceedings of Singapore Healthcare2059-23292022-06-013110.1177/20101058211068593Organophosphate poisoning from inappropriate topical use of malathion pesticide: A case reportJoe Jia-Liang ChuaKaibin K. KuanA 43-year-old male with no past medical history presented to our emergency department with vomiting, diarrhea, and abdominal pain of 3 h’ duration. Upon further questioning, he revealed that he had been applying malathion pesticide over his body for the past 3 days for self-diagnosed scabies. He was otherwise afebrile and hemodynamically stable, and the physical examination was unremarkable. The patient was diagnosed with organophosphate poisoning and treated symptomatically due to the lack of worrying cardiorespiratory or neurologic sequelae. He was subsequently admitted to the general ward, where his symptoms abated within 4 h. Serum and red blood cell cholinesterase tests sent on admission returned on day three and were significantly decreased (serum cholinesterase 2131 U/L, reference range 4700–12000 U/L; red blood cell cholinesterase 3365 U/L, reference range 7700–14600 U/L). He was discharged home well and stable on day 5 of admission, with outpatient psychiatric follow-up for likely delusional parasitosis.https://doi.org/10.1177/20101058211068593 |
spellingShingle | Joe Jia-Liang Chua Kaibin K. Kuan Organophosphate poisoning from inappropriate topical use of malathion pesticide: A case report Proceedings of Singapore Healthcare |
title | Organophosphate poisoning from inappropriate topical use of malathion pesticide: A case report |
title_full | Organophosphate poisoning from inappropriate topical use of malathion pesticide: A case report |
title_fullStr | Organophosphate poisoning from inappropriate topical use of malathion pesticide: A case report |
title_full_unstemmed | Organophosphate poisoning from inappropriate topical use of malathion pesticide: A case report |
title_short | Organophosphate poisoning from inappropriate topical use of malathion pesticide: A case report |
title_sort | organophosphate poisoning from inappropriate topical use of malathion pesticide a case report |
url | https://doi.org/10.1177/20101058211068593 |
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