Therapeutic measures included intubation, mechanical ventilation, and unspecified drugs for symptom control and neuroprotection. On Aug 22, 2020, the patient was transferred by a German air ambulance to the Charité-Universitätsmedizin Berlin at the request of his family. Severe poisoning with a cholinesterase inhibitor was subsequently diagnosed. 2 weeks later, the German Government announced that a laboratory of the German armed forces designated by the Organization for the Prohibition of Chemical Weapons (OPCW) had identified an organophosphorus nerve agent from the novichok group in blood samples collected immediately after the patient's admission to Charité, a finding that was subsequently confirmed by the OPCW. Here, we report clinical details of this case.
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