Intermediate syndrome after dermal exposure to organophosphate insecticideopen access
- Authors
- Lee, Su Bin; Ryu, Seung Ho; Park, Doo Yong; Park, Jong Ho; Kim, Jee Young
- Issue Date
- Jan-2018
- Publisher
- 대한임상신경생리학회
- Keywords
- Organophosphate poisoning; Respiratory insufficiency; Cholinergic
- Citation
- Annals of Clinical Neurophysiology, v.20, no.1, pp.41 - 43
- Indexed
- KCI
- Journal Title
- Annals of Clinical Neurophysiology
- Volume
- 20
- Number
- 1
- Start Page
- 41
- End Page
- 43
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/150668
- DOI
- 10.14253/acn.2018.20.1.41
- ISSN
- 2508-691X
- 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.
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