{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T00:12:08Z","timestamp":1769127128318,"version":"3.49.0"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T00:00:00Z","timestamp":1766966400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T00:00:00Z","timestamp":1766966400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>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\u2010year\u2010old male with OP poisoning initially misdiagnosed as alcohol intoxication. He was intubated in the emergency department\u00a0on arrival due to a low Glasgow Coma Scale (GCS) of 6\/15 and then admitted to the Intensive Care Unit (ICU)\u00a0where he developed 5 episodes of generalized tonic clonic seizure (GTCS) and ventilator\u2010associated 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\u2010induced delayed neuropathy (OPIDN). This case highlights the diagnostic challenges of OP poisoning and potential complications associated with its management.<\/jats:p>","DOI":"10.1002\/ccr3.71722","type":"journal-article","created":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T09:02:56Z","timestamp":1766998976000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Whiff of Garlic, a Turn of Fate: Recognizing Organophosphorus Poisoning Amid Diagnostic Uncertainty: A Case Report"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6371-0136","authenticated-orcid":false,"given":"Sujan","family":"Tamang","sequence":"first","affiliation":[{"name":"Nepalese Army Institute of Health Sciences  Kathmandu Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8527-8858","authenticated-orcid":false,"given":"Bishwo Ram","family":"Amatya","sequence":"additional","affiliation":[{"name":"Department of Anesthesia Shree Birendra Hospital  Kathmandu Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8218-1647","authenticated-orcid":false,"given":"Sulav","family":"Neupane","sequence":"additional","affiliation":[{"name":"Nepalese Army Institute of Health Sciences  Kathmandu Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4628-7652","authenticated-orcid":false,"given":"Sunischit Chandra","family":"Neupane","sequence":"additional","affiliation":[{"name":"Nepalese Army Institute of Health Sciences  Kathmandu Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiranjivi","family":"Panta","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Shree Birendra Hospital  Kathmandu Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anusmriti","family":"Pal","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Shree Birendra Hospital  Kathmandu Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dipesh","family":"Shrestha","sequence":"additional","affiliation":[{"name":"Critical Care Unit, Shree Birendra Hospital  Kathmandu Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,29]]},"reference":[{"issue":"7","key":"e_1_2_15_2_1","article-title":"Acute Renal Failure due to Organophosphate Poisoning: A Case Report","volume":"9","author":"Zafar R.","year":"2017","journal-title":"Cureus"},{"issue":"10","key":"e_1_2_15_3_1","article-title":"Poisoning by Organophosphate Pesticides: A Case Report","volume":"14","author":"Bereda G.","year":"2022","journal-title":"Cureus"},{"issue":"11","key":"e_1_2_15_4_1","article-title":"A Rare Presentation of Severe Organophosphate Poisoning: A Case Report and Review of Literature","volume":"14","author":"Ibrahim A. 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