severe accidental organophosphoruspoisoning in two children

Background: organophosphorus (op) compounds have intense anticholinesterase activity and are commonly used as insecticides and pesticides. op poisoning is a global health problem and poses a threat to human health. case report: here we report two sisters, aged 3 and 4 years, who had inadvertently eaten agricultural pesticides. these patients had a decreased level of consciousness, nausea, and vomiting. we do not have pralidoxime in this center and the adjacent center, so we used atropine as the primary drug in treating these patients. however, after 4 days, the 3yearold patient felt a weakness in upper and lower limb movements. conclusion: in the treatment of op poisoning, it is necessary to pay special attention to delayed complications such as intermediate syndrome.