Severe organophosphate poisoning in a neonate.

Organophosphates (OP) are widely used as insecticides. Accidental OP poisoning is reported world over. These compounds inhibit the enzyme acetyl-cholinesterase within the peripheral and central nervous system by phosphorylation of its esteratic site. The resultant accumulation of acetylcholine at the cholinergic receptor sites, leads to signs of cholinergic toxicity. Accidental OP sites, leads to signs of cholinergic toxicity. Accidental OP poisoning has rarely been reported in neonates. The only case report that we could find was that of a one month old infant who presented with apnea and profuse secretions(l). We present a 25-day-old infant with OP toxicity.