Abstract
Aluminium phosphide is one of the most common agricultural poisons being consumed in north India. Consumption of a fresh tablet is lethal as no antidote is available. Acute intoxication primarily presents with cardiovascular collapse due to myocardial toxicity. We report here a case of acute severe poisoning along with cardiovascular collapse and oliguria. The patient developed acute kidney injury during the illness (a rare entity in aluminium phosphide poisoning), which completely resolved following prompt conservative treatment.
Highlights
Poisoning onself with aluminium phosphide is a common method of suicide in the agricultural community in northern India [1]
Aluminium phosphide is emerging as a poison of suicidal deaths, as this pesticide is freely available in the market with no effective antidote [2]
Despite the progress achieved in the fields of toxicology, celphos poisoning is still responsible for a high rate of mortality as there is no specific antidote [3,4].The objectives of this study were to emphasize the importance of rapid diagnosis and to prompt initiation of supportive treatment in patients with celphos poisoning, which could be life saving
Summary
Poisoning onself with aluminium phosphide is a common method of suicide in the agricultural community in northern India [1]. Pesticide poisoning is an important cause of morbidity and mortality in India. Aluminium phosphide (celphos) is emerging as a poison of suicidal deaths, as this pesticide is freely available in the market with no effective antidote [2]. Celphos poisoning is a real medical emergency demanding early and adequate management. Despite the progress achieved in the fields of toxicology, celphos poisoning is still responsible for a high rate of mortality as there is no specific antidote [3,4].The objectives of this study were to emphasize the importance of rapid diagnosis and to prompt initiation of supportive treatment in patients with celphos poisoning, which could be life saving
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