Back from the Brink: Successful Rescue of a child with Severe Aluminum phosphide Toxicity
Authors
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Farangis Sadeghi
Department of Internal Medicine and Clinical Development Research Unit, Sayad Shirazi Hospital, Golestan University of Medical Sciences, Gorgan, Iran.
https://orcid.org/0009-0005-2670-3796
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Mehrangiz Pichak
Golestan Research Center of Gastroenterology and Hepatology, Jorjani Clinical Sciences Research Institute, Golestan University of Medical Sciences, Gorgan, Iran.
https://orcid.org/0000-0002-8484-0394
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Safa Aryan Nejad
Pediatric Specialist, Faculty Member of Golestan University of Medical Sciences, Member of the Research Center for Children and Adolescents.
https://orcid.org/0000-0001-7945-0917
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Lida shojaei Arani
Emergency Medicine and Toxicology Department, Kosar Hospital Poison Center, Alborz University of Medical Sciences.
https://orcid.org/0000-0002-1531-3937
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Seyede Maryam Naghibi
Assistant Professor of Psychiatry, Psychosomatic medicine fellowship, Faculty of Medicine, Golestan University of Medical sciences, Gorgan, Iran.
https://orcid.org/0000-0002-3988-3221
DOI:
https://doi.org/10.22100/ijhs.v12i6.1334Keywords:
Aluminum phosphide, rice pill, , Pediatric poisoning, Cardiac arrhythmia, SurvivalAbstract
Aluminum phosphide (AlP), commonly referred to as a “rice pill,” is frequently employed as a fumigant for grain storage and is often involved in self-poisoning cases. The clinical presentation of AlP toxicity is varied and nonspecific, including symptoms such as fatigue, vomiting, fever, palpitations, vasodilatory shock, cardiac dysfunction, pulmonary congestion, dyspnea, and potentially death. This case report highlights a rare instance of survival following AlP ingestion. A 13-year-old boy presented with metabolic acidosis and hypotension, subsequently developing atrial fibrillation and flutter, junctional tachycardia and toxic myocarditis.
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