Organophosphorus Poisoning Symptoms and Signs
Symptoms and Signs
Organophosphorus compounds or organophosphates are absorbed into the body via the digestive tract, skin and mucus membranes; they are also absorbed through the respiratory tract if inhaled.The patient may have the typical smell of organophosphorus compounds, which is a pungent garlic-like odor. He may have symptoms and signs as given below:
- The patient may have slow heart rate and low blood pressure causing dizziness and fainting; rarely he may have a high blood pressure and fast heart rate. The heart rhythm may be abnormal and could cause death in severe cases
- May experience difficulty in breathing due to increased secretions and spasm of the bronchi
- There may have an increase in salivary secretion, pain in abdomen and loose stools. He may also have incontinence of urine and stool
- Vision may be blurred due to small pupil size and increased tear formation. Rarely the pupils may be larger than normal is size
- Sweating excessively
- Muscles maybe affected leading to twitches, cramps, muscle weakness and eventually muscle paralysis. Death could occur if the diaphragm and other respiratory muscles are affected.
- Brain may be affected leading to anxiety, confusion, memory loss, irritability, seizures or coma
- Death could occur due the above symptoms such as abnormal heart rhythm, difficulty breathing, paralysis of respiratory muscles or coma
References:
- Cherian MA, Roshini C, Peter JV, Cherian AM. Oximes in organophosphorus poisoning Indian Journal of Critical Care Medicine 2005 ; 9 (3): 155-163.
- Goodman and Gilman. The Pharmacological Basis of Therapeutics 11th edition.
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