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Human & Experimental Toxicology
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A Case of Unusual Suicidal Poisoning by the Organophosphorus Insecticide Dimethoate

D. Jovanovic

Military Technical Institute, Medical Department, Kataniceva 15, 11 000 Belgrade

S. Randjelovic

Military Medical Academy, Clinic of Toxicology, Cmotravska 17, 11 000 Belgrade, Yugoslavia

D. Joksovic

Military Medical Academy, Clinic of Toxicology, Cmotravska 17, 11 000 Belgrade, Yugoslavia

A 20-year-old male who attempted suicide by injecting subcutaneously 10 ml of Sistemin 40 (40% dimethoate) was admitted 16 h later. General weakness, muscular fibrillations and a marked inhibition of red blood cell and serum cholinestrases were the prominent signs of intoxication. The antidotal treatment of intermittent boluses of atropine, oxime HI-6 and diazepam was combined with symptomatic therapy. Cholinesterase activity decreased within the next 3 d. In contrast to the marked general improvement of the patient, the return of cholinesterase activities was very slow. The patient was discharged 24 d after the poisoning with no notable consequences which could be ascribed to the intoxication.

Human & Experimental Toxicology, Vol. 9, No. 1, 49-51 (1990)
DOI: 10.1177/096032719000900111


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