The nicotinic symptom in Organo-Phosphate (OP) poisoning is an unusual presentation in an adult, as in our case of a 38-year-old man who also experienced decreased motor power of all limbs and diffuses fasciculation of the tongue and lower limbs.

Key Clinical Message The nicotinic symptom in Organo‐Phosphate (OP) poisoning is an unusual presentation in an adult, as in our case of a 38‐year‐old man who also experienced decreased motor power of all limbs and diffuses fasciculation of the tongue and lower limbs.