TY  - JOUR
PY  - 2021//
TI  - Plasmapheresis in lethal yellow phosphorus poisoning: a scope for recovery
JO  - BMJ case reports
A1  - Mathew, Jithin
A1  - Gnanaraj, John
A1  - Basavarajegowda, Abhishekh
A1  - Venkateswaran, Ramanathan
SP  - e2020
EP  - 239676
VL  - 14
IS  - 4
N2  - A 16-year-old girl presented with grade 3 hepatic encephalopathy (HE) following suicide attempt after consuming a lethal dose of yellow phosphorus containing rodenticide. Although she was a candidate for liver transplantation, it could not be done. In the absence of a specific antidote for yellow phosphorus poisoning, the patient was managed conservatively. In addition, low volume-therapeutic plasma exchange (LV-TPE) was initiated, which resulted in a dramatic improvement in HE. Although liver transplantation is the definitive treatment, this case has shown that TPE has a promising role as a 'bridge to recovery' in situations where transplantation is not feasible. We describe our experience with the above-mentioned case, along with the sequence of clinical recovery and the trend in biochemical parameters during follow-up. The patient made a full recovery and is doing well.<p />  <p>Language: en</p>
LA  - en
SN  - 1757-790X
UR  - http://dx.doi.org/10.1136/bcr-2020-239676
ID  - ref1
ER  -