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Accidental Organophosphate Poisoning in a Toddler: A Case Report
Riya Patel1, Sanket Patel2, Aakash Verma3
1Pediatrics, Nootan Medical College and Research Centre, Gujarat, IND.
Insights
Accidental organophosphate (OP) poisoning in children is underreported, especially in Southeast Asia. This case highlights the diagnostic challenges in pediatric OP poisoning due to varied symptoms and unclear exposure history.
Area of Science:
- Pediatric Toxicology
- Environmental Health
Background:
- Accidental poisoning is common in children, but organophosphate (OP) poisoning data is limited.
- Southeast Asia has a high burden of OP poisoning in adults, yet pediatric cases are sparsely documented.
- Diagnosing OP poisoning in children is challenging due to diverse presentations and unreliable exposure history.
Abstract:
While accidental poisoning is fairly common in children, the data are sparse when organophosphate (OP) is considered the culprit toxin. Only case reports of such patients from the Southeast Asian Region have been documented, despite it contributing largely to the global burden of organophosphorus poisoning in the adult population. This can be attributed to difficulty in diagnosing children because of varied presentations in the pediatric population and unreliable or unavailable exposure history. We present a case of a 19-month-old toddler who presented to the ED with OP poisoning, which proved to be a diagnostic and management challenge because of more common differentials and the unavailability of a clear history.
