DOI: https://doi.org/10.36347/sjmcr.2025.v13i12.003

Pages: 2918-2920

Background: Organophosphates are commonly used in our environment, especially in agriculture as insecticides, and are responsible for high mortality rates in cases of severe acute poisoning, particularly in our context where resuscitation resources are insufficient. Organophosphate poisoning is most often accidental in children. It is rare but serious. The clinical presentation is dominated by a muscarinic, nicotinic, and central nervous system syndrome, requiring primarily symptomatic management in an intensive care setting. We report here a case of severe acute organophosphate poisoning in a child. Case Description: A six-year-old child, not attending school and with no prior medical history, was admitted to the intensive care unit for the management of a sudden onset of altered consciousness associated with respiratory distress. Questioning of the father revealed a history of accidental ingestion of an unspecified quantity of an organophosphate insecticide in agricultural fields. Treatment was primarily symptomatic, combining resuscitation measures and atropine. Conclusion: Organophosphate poisoning in children poses a problem in developing countries. Recognizing the variable clinical manifestations and providing early therapeutic intervention in the intensive care unit can lead to favorable outcomes, as demonstrated by our case.