Parenteral Insecticide Injection for Suicidal Attempt: A Case Report

Abstract

Poisoning by insecticides is a public health problem, particularly in developing countries. Insecticide poisoning may occur due to ingestion, inhalation or skin contact and is commonly associated with psychiatric illnesses. However, intramuscular injection of these chemicals is rare in the literature. In this report, we represent you a case of 35-year-old female who presented to our Emergency Department due to parenteral insecticide injection after an argument with her husband. A tender swelling was observed on the upper region of left upper extremity, underneath the shoulder. The patient did not develop any signs and symptoms of organophosphate poisoning and, after follow-up, the patient was discharged with total recovery. Even in the absence of systemic effects of OP, clinicians must be aware of possible complications of intramuscular injection of OPs such as cellulitis and abscess. We aimed to raise the awareness to this rare condition.

Association of Organophosphate Poisoning with Kidney Injury: A Mini Review

“…When exposed to OPs intentionally or accidentally, regardless of route (via gastrointestinal, respiratory or skin), they cause severe toxic effects by inhibiting acetylcholinesterase (AChE) enzyme after entering the body. The continued stimulation and eventual paralysis of the acetylcholine receptors exposes the clinical signs and symptoms of OP poisoning [1,3]. Many of the patients present at the cholinergic phase.…”