Alcohol Withdrawal Mimicking Organophosphate Poisoning

Year 2014, Volume: 39 Issue: 1, 157 - 163, 22.07.2014

Nezihat Rana Dişel Zeynep Kekeç Ayça Açıkalın

https://doi.org/10.17826/cutf.98921

Abstract

Organophosphates, which can cause occupational poisoning due to inappropriate personal protective measures, are widely used insecticides in agricultural regions of southern Turkey. Therefore, the classical clinical findings of this cholinergic poisoning are myosis, excessive secretions, bradicardia and fasciculations are easy to be recognized by local medical stuff. Diseases and conditions related to alcoholism such as mental and social impairments, coma, toxicity, withdrawal, and delirium are frequent causes of emergency visits of chronic alcoholic patients. Here we present a case diagnosed and treated as organophosphate poisoning although it was an alcohol withdrawal in the beginning and became delirium tremens, due to similar symptoms.

Keywords

Alcohol withdrawal, delirium tremens, organophosphate, poisoning

Organofosfat Zehirlenmesini Taklit Eden Alkol Yoksunluğu

Abstract

Kişisel koruyucu önlemler alınmadığında mesleki zehirlenmeye neden olabilen organofosfatlar, Türkiye"nin güneyindeki tarım bölgelerinde sıkça kullanılan insektisitlerdir. Bu nedenle, bu bölgenin sağlık çalışanlarınca tanınması kolay olan bu kolinerjik zehirlenmenin klasik klinik bulguları miyozis, sekresyonlarda artma, bradikardi ve fasikülasyonlardır. Alkolizme bağlı hastalık ve durumlardan olan mental ve sosyal uyum problemleri, koma, zehirlenme, yoksunluk ve deliryum tremens, kronik alkolizmi olan hastaların hastane ziyaretlerinin sık sebeplerindendir. Bu yazıda, aslında alkol yoksunluğu iken benzer semptomlar nedeniyle organofosfat zehirlenmesi tanı ve tedavisi alıp, deliryum tremense ilerleyen bir olgu sunulmuştur.

Keywords

Alkol yoksunluğu, deliryum tremens, organofosfat, zehirlenme

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