Organophosphate compounds such as Malathion, parathion, dimethoate, chlorpyrifos, tabun etc. Block the acetylcholinesterase enzyme, due to which acetylcholine levels increases. Organophosphate poisoning can occur after dermal, respiratory or oral exposure to organophosphate compounds.Respiratory symptoms are presented frequently in cases of organophosphate poisoning. Salivation, rhinorrhea along with bronchorrhea and bronchospasm are the muscarinic effects contributing to hypoxemia and increase in respiratory rate. Nicotinic effect causes muscular fragility and paralysis which may lead to respiratory failure. In wellens syndrome, the ECG reveals biphasic T waves or deep inverted T waves in leads V2-V3, indicating LAD stenosis, whereas Pseudo-Wellens have a Wellens ECG pattern but normal coronary architecture. In this case a 29-year-old male patient was brought from outside hospital with alleged history binge alcohol consumption and was found in unconscious state in his farm 2 days back.
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