Abstract

JHA, Suman Kumar; BASNET, Angela; CHAULAGAIN, Sabin  and  OJHA, Shiva Kumar. A case of aluminum phosphide poisoning managed successfully in Nepal: a case report. Iberoam J Med [online]. 2022, vol.4, n.2, pp.123-127.  Epub Dec 04, 2023. ISSN 2695-5075.  https://dx.doi.org/10.53986/ibjm.2022.0018.

Aluminum phosphide (ALP) is a highly toxic compound most commonly available as Celphos in Nepal. Suicidal ingestion is common in developing countries like Nepal as it is easily available and has a high mortality rate. Farmers to protect crops from rodents and pests use it. Here we present a case of a 24-year-old female with suicidal ingestion of one and a half-tablet of ALP presented with abdominal pain and vomiting. The patient developed metabolic acidosis, hyperkalemia, acute respiratory distress, and hypotension during the Intensive Care Unit stay. Supportive treatment with gastric lavage (coconut oil), intravenous magnesium sulfate, sodium-bicarbonate infusion, adequate vasopressor and close monitoring of hemodynamic parameters helped in the survival of the patient.

Keywords : Aluminum phosphide; Suicidal ingestion; Metabolic acidosis; Acute respiratory distress; Magnesium sulfate.

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