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BMJ Case Reports 2012; doi:10.1136/bcr-2012-007043
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Opsoclonus and lingual myoclonus due to organophosphate poisoning: images in clinical medicine

  1. Thampi Jayapal2
  1. 1Department of Internal Medicine, Medical College Hospital, Thiruvananthapuram, Kerala, India
  2. 2Department of Internal Medicine, Government Medical College Hospital, Thiruvananthapuram, Kerala, India
  1. Correspondence to Professor Chandrasekharan Rajasekharan, drcrajasekharan{at}yahoo.com

Description

A 12-year-old girl was referred to the emergency services with a history of consumption of pesticide chlorpyrifos (chlorpyrifos (0,0 diethyl l0 (3,5, tricholoro-2-pyridyl) phosphorothioate)), an organophosphorus compound, followed by multiple episodes of vomiting. On examination, she was conscious. Her pulse rate was 100/min, blood pressure 120/80 mm Hg, temperature 37°C, and respiratory rate 22/min, regular. Her pupils were of normal size and light reflex bilaterally. On the second day, …

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