ABSTRACT
Organophosphorus compound poisoning commonly presents with muscarinic, nicotinic and central nervous system manifestations. Endocrinal complications of various organophosphorus compounds are rare and cannot be explained by commonly known mechanisms. We report a clinically proven case of organophosphorus compound poisoning in a young male, in whom at least 22 episodes of hypoglycaemia (blood sugar levels in the range of 47–80 mg %) were observed over 2 weeks during his hospi-talization. Hypoglycaemic episodes completely disappeared upon recovery from poisoning. The exact mechanism for such recurrent hypoglycaemia requires detailed evaluation. This report emphasizes the need to observe blood sugar levels in patients with organophosphorus compound poisoning, so as to detect and promptly treat this rare yet important and correctable complication.