Organophosphorus Poisoning with Homicidal Intention in a Neonate

Organophosphorus Compounds (OPC) are widely used as pesticides, and poisoning due to OPC is very rare in neonates. A 12-day- old female neonate was admitted with gasping respiration, excessive oral secretions and cold extremities. She had frothing from mouth and nose with an offensive odour, was hyp...

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Main Authors: Laxman Basany, Roja Aepalapala
Format: Article
Language:English
Published: JCDR Research and Publications Pvt. Ltd. 2022-10-01
Series:Indian Journal of Neonatal Medicine and Research
Subjects:
Online Access:https://ijnmr.net/article_fulltext.aspx?issn=0973-709x&year=2022&month=October&volume=10&issue=4&page=PC01%20-%20PC03&id=2358
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author Laxman Basany
Roja Aepalapala
author_facet Laxman Basany
Roja Aepalapala
author_sort Laxman Basany
collection DOAJ
description Organophosphorus Compounds (OPC) are widely used as pesticides, and poisoning due to OPC is very rare in neonates. A 12-day- old female neonate was admitted with gasping respiration, excessive oral secretions and cold extremities. She had frothing from mouth and nose with an offensive odour, was hypothermic, hypotonic, cyanosed and was in mild stupor. Pupils were pin pointed, capillary refill time was 4-5 sec and had bilateral crepitations of lungs on auscultation. The baby was intubated, given 0.1 mg of atropine followed by 0.9% saline bolus and gastric lavage. She was treated with empirical antibiotics, atropine, Pralidoxime (PAM) and respiratory support. The baby responded well to treatment and was discharged on 10th day of admission. This could be the second case of Organophosphorus (OP) poisoning with homicidal intention reported in neonates.
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spelling doaj.art-ac805231b3e34d2b98b241f87bb79b4f2023-02-08T05:31:33ZengJCDR Research and Publications Pvt. Ltd.Indian Journal of Neonatal Medicine and Research2277-85272455-68902022-10-01104PC01PC0310.7860/IJNMR/2022/58467.2358Organophosphorus Poisoning with Homicidal Intention in a NeonateLaxman Basany0Roja Aepalapala1 Neonatologist, Department of Neonatology, Dolphin Kids Hospital, Hanamkonda, Telangana, India.Consultant, Department of Paediatrics, Dolphin Kids Hospital, Hanamkonda, Telangana, India. Organophosphorus Compounds (OPC) are widely used as pesticides, and poisoning due to OPC is very rare in neonates. A 12-day- old female neonate was admitted with gasping respiration, excessive oral secretions and cold extremities. She had frothing from mouth and nose with an offensive odour, was hypothermic, hypotonic, cyanosed and was in mild stupor. Pupils were pin pointed, capillary refill time was 4-5 sec and had bilateral crepitations of lungs on auscultation. The baby was intubated, given 0.1 mg of atropine followed by 0.9% saline bolus and gastric lavage. She was treated with empirical antibiotics, atropine, Pralidoxime (PAM) and respiratory support. The baby responded well to treatment and was discharged on 10th day of admission. This could be the second case of Organophosphorus (OP) poisoning with homicidal intention reported in neonates.https://ijnmr.net/article_fulltext.aspx?issn=0973-709x&year=2022&month=October&volume=10&issue=4&page=PC01%20-%20PC03&id=2358atropinenewbornorganophosphatepralidoxime
spellingShingle Laxman Basany
Roja Aepalapala
Organophosphorus Poisoning with Homicidal Intention in a Neonate
Indian Journal of Neonatal Medicine and Research
atropine
newborn
organophosphate
pralidoxime
title Organophosphorus Poisoning with Homicidal Intention in a Neonate
title_full Organophosphorus Poisoning with Homicidal Intention in a Neonate
title_fullStr Organophosphorus Poisoning with Homicidal Intention in a Neonate
title_full_unstemmed Organophosphorus Poisoning with Homicidal Intention in a Neonate
title_short Organophosphorus Poisoning with Homicidal Intention in a Neonate
title_sort organophosphorus poisoning with homicidal intention in a neonate
topic atropine
newborn
organophosphate
pralidoxime
url https://ijnmr.net/article_fulltext.aspx?issn=0973-709x&year=2022&month=October&volume=10&issue=4&page=PC01%20-%20PC03&id=2358
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