Utilization of plasmapheresis for organophosphate intoxication: A case report
Nezihat Rana Disel, Ayca Acikalin, Zeynep Kekec, Ahmet Sebe
Cukurova University, Faculty of Medicine, Department of Emergency Medicine, Adana, Turkey
Keywords: Organophosphate; Intoxication; Plasmapheresis; Dermal exposure; Ichthyosis
Abstract
Organophosphate (OP) compounds are extremely toxic chemicals that may be absorbed via skin, conjunctiva, gastrointestinal and respiratory systems. Treatment of OP poisoning is a critical and aggressive process which includes decontamination, antidote administration (atropin and oximes), mechanical ventilation support and extracorporeal elimination procedures if needed. Here we present a young female patient who was unintentionally poisoned by an OP (trichlorfon) after using it to moisture her skin. The importance of this patient is the dermal disease that makes her unprotective to dermal exposure of chemicals and application of plasmapheresis to treat her poisoning.