Health  Vol.6 No.15 , August 2014
Parenteral Insecticide Injection for Suicidal Attempt: A Case Report
Abstract: Poisoning by insecticides is a public health problem, particularly in developing countries. Insecticide poisoning may occur due to ingestion, inhalation or skin contact and is commonly associated with psychiatric illnesses. However, intramuscular injection of these chemicals is rare in the literature. In this report, we represent you a case of 35-year-old female who presented to our Emergency Department due to parenteral insecticide injection after an argument with her husband. A tender swelling was observed on the upper region of left upper extremity, underneath the shoulder. The patient did not develop any signs and symptoms of organophosphate poisoning and, after follow-up, the patient was discharged with total recovery. Even in the absence of systemic effects of OP, clinicians must be aware of possible complications of intramuscular injection of OPs such as cellulitis and abscess. We aimed to raise the awareness to this rare condition.
Cite this paper: Erenler, A. , Başara, G. and Kayabaş, A. (2014) Parenteral Insecticide Injection for Suicidal Attempt: A Case Report. Health, 6, 1929-1932. doi: 10.4236/health.2014.615225.

[1]   WHO (2011) Suicide Prevention (SUPRE). World Health Organization, Geneva.

[2]   Eddleston, M. and Phillips, M.R. (2004) Self Poisoning with Pesticides. BMJ, 328, 42-44.

[3]   Gunnell, D. and Eddleston, M. (2003) Suicide by Intentional Ingestion of Pesticides: A Continuing Tragedy in Developing Countries. International Journal of Epidemiology, 32, 902-909.

[4]   Buchman, M.T. (2000) Upper Extremity Injection of Household Insecticide: A Report of Five Cases. Journal of Hand Surgery (American Volume), 25, 764-767.

[5]   Eddleston, M., Adhikari, S., Egodage, S., Ranganath, H., Mohamed, F., Manuweera, G., Azher, S., Jayamanne, S., Juzczak, E., Sheriff, M.R., Dawson, A.H. and Buckley, N.A. (2012) Effects of a Provincial Ban of Two Toxic Organophosphorus Insecticides on Pesticide Poisoning Hospital Admissions. Clinical Toxicology, 50, 202-209.

[6]   Liu, H., Kan, B., Jian, X., Zhang, W., Zhou, Q. and Wang, J. (2013) Parasuicidal Poisoning by Intramuscular Injection of Insecticide: A Case Report. Experimental and Therapeutic Medicine, 6, 696-698.

[7]   Goldberg, L.H., Shupp, D., Weitz, H.H. and Zeccardi, J.A. (1982) Injection of Household Spray Insecticide. Annals of Emergency Medicine, 11, 626-629.

[8]   Sundarka, M.K., Gupta, H.L., Parakh, N., et al. (2000) Self Injection of Insecticide. The Journal of the Association of Physicians of India, 48, 856.

[9]   Malla, G., Basnet, B., Vohra, R., Lohani, S.P., Yadav, A. and Dhungana, V. (2013) Parenteral Organophosphorus Poisoning in a Rural Emergency Department: A Case Report. BMC Research Notes, 6, 524.

[10]   de Andrade Nishioka, S. (1994) Parenteral Injection of Organophosphate Insecticide. Apropos of Two Cases. Sao Paulo Medical Journal, 112, 561-563.