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Cover page of the Journal of Health Sciences
Year : 2017  |  Volume : 10  |  Issue : 3  |  Page : 343-346

Survival in a case of aluminum phosphide poisoning with severe myocardial toxicity

1 Department of Medicine, Lady Hardinge Medical College, New Delhi, India
2 Department of Medicine, UCMS and GTB Hospital, New Delhi, India
3 Department of Medicine, Dr. RML Hospital and PGIMER, New Delhi, India
4 Department of Neurology, GB Pant Hospital, New Delhi, India

Correspondence Address:
Priya Bansal
Department of Medicine, Lady Hardinge Medical College, New Delhi
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/kleuhsj.ijhs_2_17

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Aluminum phosphide (AlP) is a commonly used pesticide (insecticide) in developing countries like India. It is also one of the most common and deadly causes of suicidal poisoning in rural areas, with a lethal dose of 150–500 mg (unexposed tablet) in adults. Death is due to the rapid release of phosphine gas which causes cellular and mitochondrial toxicity leading to cardiovascular collapse and multiorgan failure. Here, we describe a case of AlP poisoning in a young male who developed severe myocarditis and metabolic acidosis after consumption of 3 g of AlP. In spite of a poor predicted outcome, the patient survived due to prompt and aggressive resuscitative measures.

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