Successful management of aluminum phosphide (ALP) poisoning in a teaching hospital in Shahroud: A case report

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Naseri BooriAbadi tahereh; Yekesadat Seyed Meysam; Sadeghian Farideh

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Journal Paper

Paper Information

Journal: Shahroud Journal of Medical Sciences Year:2025 | Volume:11 | Issue:1 Page(s): 27-31

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Information Journal Paper

Title

Successful management of aluminum phosphide (ALP) poisoning in a teaching hospital in Shahroud: A case report

Author(s)

Naseri BooriAbadi tahereh | Yekesadat Seyed Meysam | Sadeghian Farideh | Issue Writer Certificate

Keywords

poisoning

suicide attempt

aluminum phosphide

case report

teaching hospital

Abstract

In Iran, herbal or chemical rice tablets containing ALP protect grains from pests. Deaths have been reported following both accidental and intentional exposure to aluminum phosphide. A 20-year-old woman who intentionally ingested a 3-gram ALP tablet and became poisoned is the primary focus of this case report. It outlines the successful management of a patient who had taken a rice tablet and suffered from acute cardiogenic shock, severe metabolic acidosis, and severe hypotension.
This patient survived successfully despite the higher mortality rate due to cardiac and multi-organ problems from exposure to phosphine gas, particularly the rice tablet and cellular hypoxia. In addition to daily supportive therapies, an antioxidant regimen, glucose, insulin, and potassium (GIK), and prompt intubation to improve cardiac function assisted with the recovery.

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