{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T04:10:09Z","timestamp":1750047009376,"version":"3.41.0"},"reference-count":23,"publisher":"Baishideng Publishing Group Inc.","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World J Clin Pediatr"],"abstract":"<jats:p>BACKGROUND<\/jats:p>\n          <jats:p>Organophosphate (OP) poisoning is common in sub-Saharan Africa. It is associated with high mortality and morbidity. Affected individuals often exhibit cholinergic symptoms and respiratory distress. Moreover, other complications, such as pancreatitis, arrhythmias, and hepatic dysfunction, have been reported. However, paralytic ileus is an exceedingly rare complication.<\/jats:p>\n          <jats:p>CASE SUMMARY<\/jats:p>\n          <jats:p>We report a case of a 5-year-old boy who presented with altered sensorium and abdominal distension following suspected OP exposure. Physical examination and imaging revealed features of intestinal obstruction and neurological deficits. He was managed with atropine, pralidoxime, and other supportive measures and had a successful recovery. Paralytic ileus is an atypical complication of acute OP poisoning. The resultant intestinal obstruction manifests as cholinergic overactivity, leading to bowel dysmotility. This case emphasizes the need for awareness and prompt management of such atypical presentations, especially in the pediatric population.<\/jats:p>\n          <jats:p>CONCLUSION<\/jats:p>\n          <jats:p>Timely recognition and multidisciplinary management of atypical presentations, such as paralytic ileus, are crucial in improving outcomes in pediatric OP poisoning.<\/jats:p>","DOI":"10.5409\/wjcp.v14.i3.106463","type":"journal-article","created":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T03:33:36Z","timestamp":1750044816000},"source":"Crossref","is-referenced-by-count":0,"title":["Organophosphate poisoning presenting with paralytic ileus: A case report"],"prefix":"10.5409","volume":"14","author":[{"given":"Felix Pius","family":"Omullo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nick","family":"Mutisya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisha","family":"Kinas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Kitheghe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zamzam","family":"Hassan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rynah","family":"Muhonja","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2060","published-online":{"date-parts":[[2025,9,9]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.866376"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jes.2022.04.023"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2017.05.002"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.29842"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.4103\/0972-5229.144017"},{"key":"B6","unstructured":"Tashev TS, Markov D. [Stomach and duodenal lesions in patients with acute organophosphorus pesticide poisonings]. Vutr Boles 1991; 61-65"},{"key":"B7","unstructured":"Tashev TS. [2 cases of severe gastroduodenal complications as a consequence of acute poisoning by organophosphorus pesticides]. 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Minimum Atropine Dosing in Pediatric Patients: Does CRNA Practice Reflect Current Recommendations? 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