Point-of-care lung ultrasound during atropine titration in severe organophosphate poisoning: A case report.
Shrirang Shriram Joshi, Nanda Kishore Narayan, Prajwal Rao et al.
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Case in brief
A young patient with severe organophosphate poisoning presented with cholinergic toxidrome and hypoxic respiratory distress. Initial lung ultrasound revealed diffuse B-lines indicating significant interstitial-alveolar involvement. During atropine titration, serial lung ultrasounds showed a decrease in B-line burden, correlating with clinical improvement. The patient ultimately recovered without the need for mechanical ventilation.
Diagnostic / clinical pearl
Lung ultrasound can serve as a valuable adjunct in monitoring pulmonary status during atropine titration in severe organophosphate poisoning.
Why it matters
This case highlights the potential utility of point-of-care lung ultrasound in toxicologic emergencies, offering a non-invasive method to assess respiratory involvement.