Rare findings of dichlorvos intoxication: Erythematous and bullous skin lesions

Abstract

Dichlorvos (2,2 –dichlorovinyl dimethyl phosphate) is a synthetic organophosphate used as an insecticide. Usually, systemic signs and findings are seen in patients with orally intoxicated by organophosphate. Cutaneous findings are rarely seen in oral dichlorvos intoxication. We reported a 44 years old female patient who was rushed to the emergency department just after she took 3 or 4 sips of liquid-based insecticide containing dichlorvos. On the second day of the follow up in the internal medicine department, a few bullous and erythematous lesions (max. diameter between 2 and 3 cm) showed up on her left periumbilical and bilateral inframammary region. The lesions healed after application of topical treatments. We should keep in mind that skin lesions can be seen in the course of poisoning with organophosphates like dichlorvos.