ORGANO PHOSPHORUS COMPOUND POISONING, COMPLICATED ACUTE RENAL FAILURE AND DELAYED POST HYPOXIC ENCEPHALOPATHY - A CASE REPORT

Journal: International Journal of Clinical and Biomedical Research

Article type: Case Reports

Published: 2015-07-23

Volume: 1; Issue: 3; Pages: 95-101

ISSN: 2395-0471

Article URL: https://journals.sumathipublications.com/article/article-1784643922254-656821359

PDF: https://journals.sumathipublications.com/article/article-1784643922254-656821359.pdf

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Authors

  1. Suresh Babu S
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  2. A K Badrinath
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  3. K Suresh
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  4. Debranjani C
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Abstract

Organophosphorus compound (OPC) poisoning is one of the most common poisons in rural India. We present a 27 year old female patient who came to us in altered sensorium and froathing from mouth with an alleged history of OPC intake about 2 hours back. The patient was intubated, connected to a mechanical ventilator and atropinized. On day 3 of admission patient had elevated renal parameters and was diagnosed as Acute Renal Failure due to acute tubular necrosis probably poison induced. On day 4 of admission she suffered an acute cardiac arrest and was resuscitated; following this she gradually improved and after 3weeks of intensive management her sensorium deteriorated. MRI Brain showed Diffuse Cerebral White Matter Leukodystrophy due to DEMYELINATION (Hypoxia induced). 
 KEYWORDS:  Organophosphorus compound poisoning; Acute renal failure; Demyelination; Leukoencephalopathy .

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