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http://dx.doi.org/10.14253/acn.2018.20.1.41

Intermediate syndrome after dermal exposure to organophosphate insecticide  

Lee, Su Bin (Department of Neurology, Myongji Hospital, Seonam University College of Medicine)
Ryu, Seung Ho (Department of Neurology, Myongji Hospital, Seonam University College of Medicine)
Park, Doo Yong (Department of Neurology, Myongji Hospital, Seonam University College of Medicine)
Park, Jong-Ho (Department of Neurology, Myongji Hospital, Seonam University College of Medicine)
Kim, Jee Young (Department of Neurology, Myongji Hospital, Seonam University College of Medicine)
Publication Information
Annals of Clinical Neurophysiology / v.20, no.1, 2018 , pp. 41-43 More about this Journal
Abstract
ntermediate 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.
Keywords
Organophosphate poisoning; Respiratory insufficiency; Cholinergic;
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