Citation

Babu R, Raghavi B, Manpreet K, Rohtagi S. Journal, Indian Academy of Clinical Medicine 2021; 22(1-2): 63-68.

Copyright

(Copyright © 2021)

DOI

unavailable

PMID

unavailable

Abstract

Aluminium phosphide is a cheap, effective and commonly used pesticide but a major cause of suicidal deaths in rural areas. Released phosphine gas causes rapid cell hypoxia due to inhibition of oxidative phosphorylation leading to circulatory failure along with formation of highly reactive hydroxyl radicals. The diagnosis of aluminium phosphide poisoning is based on history, and foul garlicky or decaying fish odor. However, in gastric aspirate or breath, silver nitrate impregnated paper test is done, for confirming the diagnosis. There is no antidote available, so treatment is totally supportive. In our case the patient was treated immediately with all essential measures with close monitoring. The patient survived and was discharged in a stable condition. © 2021, Indian Academy of Clinical Medicine. All rights reserved.

Language: en

Keywords

adolescent; human; suicide; male; injury; shock; Survival; case report; aluminum phosphide; glutathione; clinical article; self poisoning; stomach lavage; noradrenalin; fluid therapy; antidote; lung edema; hypocalcemia; creatine kinase; acetylcysteine; permanganate potassium; bicarbonate; heart muscle ischemia; insulin; gluconate calcium; phosphine; Aluminium phosphide; leukocytosis; hypoxia; blood pressure; ST segment elevation; thorax radiography; inotropic agent; oxygen saturation; vasopressin; liver disease; myocarditis; oxygen tension; Article; pulse oximetry; ceftriaxone; cardioversion; urine volume; central venous pressure; breathing rate; carbon dioxide tension; ursodeoxycholic acid; echocardiography; Glutathione; gastric suction; insulin infusion; trimetazidine; electron spin resonance; magnesium blood level; hydroxyl radical; noninvasive ventilation; Dextrose insulin infusion; KMnO4 gastric lavage; lung wedge pressure; oxidative injury; Phosphine gas