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Delayed Polyneuropathy Induced by Organophosphate Poisoning
Shunsuke Kobayashi1, Reiko Okubo2, Yoshikazu Ugawa1
1Department of Neurology, Fukushima Medical University, Japan.
Internal Medicine (Tokyo, Japan)
|July 19, 2017
Summary
Organophosphate poisoning from trichlorfon ingestion can cause delayed, progressive sensory and motor polyneuropathy. Nerve conduction studies are crucial for diagnosing this rare complication.
Area of Science:
- Toxicology
- Neurology
Background:
- Organophosphate pesticides are widely used, and acute poisoning can be life-threatening.
- Delayed neurotoxicity is a rare but serious complication of organophosphate exposure.
Observation:
- An 89-year-old male ingested trichlorfon in a suicide attempt.
- Following initial intensive care, he developed progressive distal weakness and sensory disturbances.
Findings:
- Electrophysiological examinations confirmed a sensory motor axonal polyneuropathy.
- This case highlights delayed polyneuropathy as a rare manifestation of organophosphate poisoning.
Implications:
- Early diagnosis and management of delayed neurotoxicity are essential.
- Nerve conduction studies are vital for identifying this uncommon neurological condition.
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