Intermediate syndrome after dermal exposure to organophosphate insecticide
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Intermediate syndrome (IMS) typically occurs at 24–96 hours following organophosphate (OP) poisoning, after an acute cholinergic crisis, but before OP-induced delayed polyneuropathy. It is characterized by proximal muscle weakness and respiratory insufficiency, which is a major contributing factor of OP-related morbidity and mortality. We report an atypical IMS case showing rapid-onset ascending paralysis and respiratory disturbance with an acute cholinergic crisis occurring 4–5 days after skin exposure to OP.
Abstract
Intermediate syndrome (IMS) typically occurs at 24–96 hours following organophosphate (OP) poisoning, after an acute cholinergic crisis, but before OP-induced delayed polyneuropathy. It is characterized by proximal muscle weakness and respiratory insufficiency, which is a major contributing factor of OP-related morbidity and mortality. We report an atypical IMS case showing rapid-onset ascending paralysis and respiratory disturbance with an acute cholinergic crisis occurring 4–5 days after skin exposure to OP.
참고문헌 (6)
- Kang SY, "Clinical review of organophosphate poisoning & sequelae; organophosphate induced delayed polyneuropathy", J Korean Neurol Assoc, 17, pp.266~274 (1999)
- Karalliedde L, "Organophosphate-induced intermediate syndrome: aetiology and relationships with myopathy", Toxicol Rev, 25, pp.1~14 (2006)[DOI]
- Singh G, "Neurology of acute organophosphate poisoning", Neurol India, 57, pp.119~125 (2009)[DOI]
- De Bleecker J, "Intermediate syndrome in organophosphorus poisoning: a prospective study", Crit Care Med, 21, pp.1706~1711 (1993)[DOI]
- He F, "Intermediate myasthenia syndrome following acute organophosphates poisoning: an analysis of 21 cases", Hum Exp Toxicol, 17, pp.40~45 (1998)
- Buckley NA, "Oximes for acute organophosphate pesticide poisoning", Cochrane Database Syst Rev, (2) (2011)