Evidence map›Paper›PMID 41473881›Full record

ArticleClinical case reports2026

A Whiff of Garlic, a Turn of Fate: Recognizing Organophosphorus Poisoning Amid Diagnostic Uncertainty: A Case Report.

Sujan Tamang, Bishwo Ram Amatya, Sulav Neupane, Sunischit Chandra Neupane, Chiranjivi Panta, Anusmriti Pal, Dipesh Shrestha

Abstract read
In one paragraph

Article in Clinical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Sujan TamangNepalese Army Institute of Health Sciences Kathmandu Nepal.ORCID https://orcid.org/0000-0002-6371-0136
Bishwo Ram AmatyaDepartment of Anesthesia Shree Birendra Hospital Kathmandu Nepal.ORCID https://orcid.org/0000-0002-8527-8858
Sulav NeupaneNepalese Army Institute of Health Sciences Kathmandu Nepal.ORCID https://orcid.org/0000-0002-8218-1647
Sunischit Chandra NeupaneNepalese Army Institute of Health Sciences Kathmandu Nepal.ORCID https://orcid.org/0000-0003-4628-7652
Chiranjivi PantaDepartment of Internal Medicine Shree Birendra Hospital Kathmandu Nepal.
Anusmriti PalDepartment of Internal Medicine Shree Birendra Hospital Kathmandu Nepal.
Dipesh ShresthaCritical Care Unit, Shree Birendra Hospital Kathmandu Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

OP compounds, commonly used as pesticides, are readily available over the counter and frequently implicated in intentional poisoning. We report a case of a 43-year-old male with OP poisoning initially misdiagnosed as alcohol intoxication. He was intubated in the emergency department on arrival due to a low Glasgow Coma Scale (GCS) of 6/15 and then admitted to the Intensive Care Unit (ICU) where he developed 5 episodes of generalized tonic clonic seizure (GTCS) and ventilator-associated pneumonia (VAP), progressing to severe acute respiratory distress syndrome (ARDS). The patient required reintubation after initial extubation as he developed an episode of GTCS with sudden loss of consciousness and respiratory arrest. Later, he developed a left foot drop with delayed conduction on the peroneal nerve, suggestive of organophosphate-induced delayed neuropathy (OPIDN). This case highlights the diagnostic challenges of OP poisoning and potential complications associated with its management.

Indexed as

diagnostic challengeorganophosphate‐induced delayed neuropathyorganophosphorus poisoningtoxicologyventilator associated pneumonia

Identifiers

PMID41473881
PMCPMC12745886

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.