ABSTRACT
Background: Organo-phosphorous compound poisoning is an important medical emergency in which if early treatment is not received the mortality is high. The leading cause of death is due to respiratory failure, which results from combination of respiratory muscle weakness, central respiratory depression, increased bronchial secretions, bronchospasm and pulmonary edema. Methods: For a period of 2 years, a total of 1200 poisoning cases were admitted in the Government Medical College Hospital, Nanded. Out of them, 240 were the cases of Organo-phosphorous compound poisoning. After applying inclusion and exclusion criteria, and after having the completed questionnaires, finally it was possible to include 200 patients. Results: Maximum number of patients who died was in the severe grade at the time of admission. In moderately severe grade only one patient died. While there was no mortality in the mild and moderate grades of poisoning. It is observed that as the scoring increased the mortality also increased. In patients with score more than 30, it was almost 100%. So patients with higher scores were more at risk of death and this association was found to be statistically significant. (p < 0.05). Conclusion: It can be concluded that all patients with Organophosphorous compound poisoning at admission should be assessed for scoring. Those having high scores should be given special attention.
ABSTRACT
This case is reported with the intention of highlighting the presentation of primary amebic meningoencephalitis as acute meningitis, a rare differential diagnosis with presence of free living amoebas in the CSF.