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CASE REPORT
Year : 2016  |  Volume : 5  |  Issue : 1  |  Page : 39-41

Intentional chlorpyrifos poisoning in pregnant woman and subsequent fetal death


Department of Pharmacy Practice, JSS College of Pharmacy, JSS University, Mysuru, Ooty, The Nilgiris, Tamil Nadu, India

Correspondence Address:
Sivasankaran Ponnusankar
Department of Pharmacy Practice, JSS College of Pharmacy, Rocklands, Post Box No. 20, Ooty - 643 001, The Nilgiris, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2278-344X.173887

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Organophosphate poisoning is an important medical emergency exist in agriculture-oriented countries such as India. This case report describes the treatment strategies followed for a management of suicidal intoxication of a pregnant woman by chlorpyrifos compound at a secondary care public hospital, Udhagamandalam, India. The patient was unable to perceive fetal movements and had classic clinical symptoms of organophosphate poisoning such as excess salivation and pinpoint pupil. The patient was administered with 2 g of pralidoxime and 10 ampoules of atropine sulfate (1.2 mg each). The fetotoxic evaluation showed fetal death. The antidote given to the patient was according to the criteria given by the World Health Organization. The late admission of the patient may be considered as a reason for fetal death. Psychosocial, educational programs are highly recommended for the population in this region to reduce the number of intentional poisoning attempts.


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