Rare Case of Dichlorovas Induced Reversible Bilateral Vocal Cord Palsy

Organophosphate compounds poisoning is common in India as either suicidal or accidental exposure. Organophosphorus (OP) poisoning is almost half of the hospital admissions due to poisoning. Acute poisonings due to organophosphorus (OP) compounds often present as medical emergencies, which require management in intensive care. There is urgent need for resuscitation, support or correction of function of vital organs (correction of arrhythmias, provision of ventilatory care), decontamination and antidotes. In the organophosphorus poisoning intermediate syndrome with cranial nerve palsies occasionally accompanied. After acute cholinergic phase of organophosphorus poisoning (OPP), only a few cases of vocal cord paralysis have been reported in the past. Here we are reporting a rare case of organophosphorus poisoning (dichlorovas) with bilateral vocal cord paralysis which occurred during a clinical recovery from acute cholinergic crisis.