Journal of Forensic and Legal Medicine
Volume 15, Issue 4 , Pages 256-258, May 2008

Prolonged cholinergic crisis and compartment syndrome following subcutaneous injection of an organophosphate compound for suicide attempt

Department of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Received 28 January 2007; accepted 15 July 2007.

Abstract 

A case of poisoning with highly lipid soluble organophosphate compound, fenthion is reported in which cholinergic crisis recurred upto 25 days following a suicide attempt. Subcutaneous injection of fenthion in the antecubital fossa by the patient produced massive swelling, cellulitis and compartment syndrome of the left arm. Emergency fasciotomy helped in restoration of circulation and saved the limb from being amputated.

Keywords: Subcutaneous organophosphate injection, Compartment syndrome, Prolonged cholinergic crisis

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PII: S1752-928X(07)00114-X

doi:10.1016/j.jflm.2007.07.008

Journal of Forensic and Legal Medicine
Volume 15, Issue 4 , Pages 256-258, May 2008

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