Zeynep KEKEÇ, Ayça AÇIKALIN, Nezihat Rana DİŞEL

Alcohol withdrawal mimicking organophosphate poisoning

Kişisel koruyucu önlemler alınmadığında mesleki zehirlenmeye neden olabilen organofosfatlar, Türkiye'nin güneyinde oldukça sık kullanılan insektisitlerdir. Bu nedenle bizim bölgemizde tanınması kolay olan bu kolinerjik zehirlenmenin klasik klinik bulguları, miyozis, sekresyonlarda artma, bradikardi ve fasikülasyonlardır. Alkolizme bağlı mental ve sosyal uyumsuzluk, koma, zehirlenme, yoksunluk ve deliryum gibi hastalık ve durumların birçoğu sık acil servis başvurularının nedenleridir. Burada atlandığı için organofosfat zehirlenmesi tanısı ile takip ve tedavi edilirken deliryum tremense ilerleyen bir alkol yoksunluğu olgusu tartışılmıştır.

Organofosfat zehirlenmesini taklit eden alkol yoksunluğu

Organophosphates are widely used insecticides in southern Turkey which can cause occupational poisoning due to inappropriate personal protective measures. Therefore, the classical clinical findings of this cholinergic poisoning which are myosis, excessive secretions, bradicardia and fasciculations are easy to be recognized in our region. Diseases and conditions related to alcoholism such as mental and social impairments, coma, toxicity, withdrawal, and delirium are frequent causes of emergency visits of 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 overlooking.

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