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Original Research
Online Published: 28 Aug 2014
 
RMJ. 2014; 39(3): 246-250


Respiratory failure and thrombocytopenia in patients with organophosphorus insecticide poisoning

Samar Iltaf Pechuho, Rukhsana Abdul Sattar, Sham Kumar, Tufail Ahmed Pechucho, Muhammad Asif Qureshi, Muhammad Rafiq Khanani.


Abstract
Objectives: To investigate the frequency of complications in patients with acute Organo-Phosphorus (OP) poisoning.
Methodology: This cross-sectional study was conducted at the National Poison Control Center (NPCC), Jinnah Postgraduate Medical Center (JPMC), Karachi, Pakistan from May 2012 to August 2012. A total of 100 patients with acute OP-poisoning were included in the study. Hemoglobin (Hb) levels, white blood cell (WBC) count, platelet count, chest-crepts, muscle-fasciculations, score on Glasgow comma scale, serum cholinesterase levels, mortality rates and causes of mortality were recorded.
Results: Of 100 patients, 69 were females and 31 were males with female/male ratio 2:1. The most frequently affected age group was 21-30 years in both genders and the most frequent reason for poisoning was an attempted suicide (98%). 50% patients had serum cholinesterase levels below normal values. 81% patients had Hb levels of 10mg/dl or less. Out of 100 patients, 21(60%) patients died because of sudden respiratory failure, 9 (25%) due to cardiac arrest, 2 (5.7%) due to septic shock and 3 (8.5%) due to CNS depression. 54 patients recovered and discharged on follow up & 11 left against medical advice (LAMA). The mortality rate was 35%.
Conclusion: OP-poisoning, in addition to several other complications, caused respiratory failure, anemia and thrombocytopenia in most of the young patients admitted with suicidal intention using OP compounds.

Key words: Organophosphorus (OP) poisoning, OP poisoning complications, respiratory failure, thrombocytopenia.


 
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How to Cite this Article
Pubmed Style

Pechuho SI, Sattar RA, Kumar S, Pechucho TA, Qureshi MA, Khanani MR. Respiratory failure and thrombocytopenia in patients with organophosphorus insecticide poisoning. RMJ. 2014; 39(3): 246-250.

Web Style

Pechuho SI, Sattar RA, Kumar S, Pechucho TA, Qureshi MA, Khanani MR. Respiratory failure and thrombocytopenia in patients with organophosphorus insecticide poisoning. https://www.rmj.org.pk/?mno=160766 [Access: March 13, 2025].

AMA (American Medical Association) Style

Pechuho SI, Sattar RA, Kumar S, Pechucho TA, Qureshi MA, Khanani MR. Respiratory failure and thrombocytopenia in patients with organophosphorus insecticide poisoning. RMJ. 2014; 39(3): 246-250.


Vancouver/ICMJE Style

Pechuho SI, Sattar RA, Kumar S, Pechucho TA, Qureshi MA, Khanani MR. Respiratory failure and thrombocytopenia in patients with organophosphorus insecticide poisoning. RMJ. (2014), [cited March 13, 2025]; 39(3): 246-250.


Harvard Style

Pechuho, S. I., Sattar, . R. A., Kumar, . S., Pechucho, . T. A., Qureshi, . M. A. & Khanani, . M. R. (2014) Respiratory failure and thrombocytopenia in patients with organophosphorus insecticide poisoning. RMJ, 39 (3), 246-250.


Turabian Style

Pechuho, Samar Iltaf, Rukhsana Abdul Sattar, Sham Kumar, Tufail Ahmed Pechucho, Muhammad Asif Qureshi, and Muhammad Rafiq Khanani. 2014. Respiratory failure and thrombocytopenia in patients with organophosphorus insecticide poisoning. Rawal Medical Journal, 39 (3), 246-250.


Chicago Style

Pechuho, Samar Iltaf, Rukhsana Abdul Sattar, Sham Kumar, Tufail Ahmed Pechucho, Muhammad Asif Qureshi, and Muhammad Rafiq Khanani. "Respiratory failure and thrombocytopenia in patients with organophosphorus insecticide poisoning." Rawal Medical Journal 39 (2014), 246-250.


MLA (The Modern Language Association) Style

Pechuho, Samar Iltaf, Rukhsana Abdul Sattar, Sham Kumar, Tufail Ahmed Pechucho, Muhammad Asif Qureshi, and Muhammad Rafiq Khanani. "Respiratory failure and thrombocytopenia in patients with organophosphorus insecticide poisoning." Rawal Medical Journal 39.3 (2014), 246-250. Print.


APA (American Psychological Association) Style

Pechuho, S. I., Sattar, . R. A., Kumar, . S., Pechucho, . T. A., Qureshi, . M. A. & Khanani, . M. R. (2014) Respiratory failure and thrombocytopenia in patients with organophosphorus insecticide poisoning. Rawal Medical Journal, 39 (3), 246-250.


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