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J Korean Soc Emerg Med > Volume 19(1); 2008 > Article
Journal of The Korean Society of Emergency Medicine 2008;19(1): 139-141.
Ipsilateral Parotitis Due to Organopho - sphate Intoxication: A case report
Seon Hee Woo, Woon Jeong Lee, Yeon Young Kyong, Seung Pill Choi, Kyu Nam Park, Mi Jin Lee
1Department of Emergency Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. limleeem@catholic.ac.kr
2Department of Emergency Medicine, College of Medicine, Konyang University, Daejeon, Korea.
ABSTRACT
Acute pancreatitis due to organophosphate intoxication is a known risk, but acute parotitis due to organophosphate intoxication is rare. We describe the case of a 74-year-old man who had acute organophosphate intoxication-induced ipsilateral parotitis. He developed ipsilateral parotid gland swelling and elevated serum amylase on the second day of the poisoning. However, serum lipase did not elevate and amylase isoenzyme predominated over S-type. Thus, we suggest that acute parotitis can develop due to organophosphate intoxication, and that this possibility should be checked by serial serum amylase, serum lipase, and amylase isoenzyme testing.
Key words: Organophosphate, Intoxication, Parotitis, Amylase
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