{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T23:07:25Z","timestamp":1783897645933,"version":"3.55.0"},"reference-count":23,"publisher":"Walter de Gruyter GmbH","issue":"2","license":[{"start":{"date-parts":[[2018,6,1]],"date-time":"2018-06-01T00:00:00Z","timestamp":1527811200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Acute organophosphate (OP) poisoning can be deadlier than any other type of chemical poisoning. So far, only a few cases have been described that include extensive neurological complications. We present an outstanding case of severe oral OP poisoning with intermediate syndrome developed on the fourth day after hospital admission. The clinical picture involved weakness of the proximal upper and lower limb muscles and several muscles supplied by motor cranial nerves, but, what is peculiar, the distal upper and lower limb muscles were also affected (forearms, hands, legs, and feet). To our knowledge, this is a unique presentation, as lower limb muscle weakness was reported only in the context of delayed polyneuropathy. Another remarkable feature was the involvement of six of the twelve cranial nerves, which makes this case of intermediate syndrome the first with such a spread of muscle weakness and provides new insights into the polymorphic clinical manifestations of acute OP poisoning.<\/jats:p>","DOI":"10.2478\/aiht-2018-69-3121","type":"journal-article","created":{"date-parts":[[2018,7,10]],"date-time":"2018-07-10T20:33:22Z","timestamp":1531254802000},"page":"191-195","source":"Crossref","is-referenced-by-count":5,"title":["New insights into the organophosphate-induced intermediate syndrome"],"prefix":"10.2478","volume":"69","author":[{"given":"Raluca Ecaterina","family":"Haliga","sequence":"first","affiliation":[{"name":"Department of Internal Medicine and Toxicology, \u201cSf. Spiridon\u201d Clinical Emergency Hospital , University of Medicine and Pharmacy \u201cGr. T. Popa\u201d Iasi , Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bianca Codrina","family":"Morarasu","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, \u201cSf. Spiridon\u201d Clinical Emergency Hospital , University of Medicine and Pharmacy \u201cGr. T. Popa\u201d Iasi , Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuela","family":"Ursaru","sequence":"additional","affiliation":[{"name":"Department of Radiology and Imaging, \u201cSf. Spiridon\u201d Clinical Emergency Hospital , University of Medicine and Pharmacy \u201cGr. T. Popa\u201d Iasi , Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Viorica","family":"Irimioaia","sequence":"additional","affiliation":[{"name":"Department of Neurology, \u201cSf. Spiridon\u201d Clinical Emergency Hospital , University of Medicine and Pharmacy \u201cGr. T. Popa\u201d Iasi , Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurentiu","family":"Sorodoc","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine and Toxicology, \u201cSf. Spiridon\u201d Clinical Emergency Hospital , University of Medicine and Pharmacy \u201cGr. T. Popa\u201d Iasi , Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2018,7,7]]},"reference":[{"key":"2026071217595690118_j_aiht-2018-69-3121_ref_001_w2aab3b7b8b1b6b1ab1ab1Aa","unstructured":"1. World Health Organization. The Impact of Pesticides on Health: Preventing Intentional and Unintentional Deaths from Pesticide Poisoning, 2004 [displayed 7 May 2018]. Available at http:\/\/www.who.int\/mental_health\/prevention\/suicide\/en\/PesticidesHealth2.pdf"},{"key":"2026071217595690118_j_aiht-2018-69-3121_ref_002_w2aab3b7b8b1b6b1ab1ab2Aa","doi-asserted-by":"crossref","unstructured":"2. 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