TY - JOUR ID - 10164 TI - An interesting case of aluminum phosphide poisoning JO - Journal of Emergency Practice and Trauma JA - JEPT LA - en SN - AU - Faridaalaee, Gholamreza AU - Rahmani, Seyed Hesam AU - Ahmadi, Sajjad AU - Mahboubi, Amin AD - Emergency Medicine Department, Maragheh University of Medical Sciences, Maragheh, Iran AD - Emergency Medicine Department, Urmia University of Medical Sciences, Urmia, Iran Y1 - 2016 PY - 2016 VL - 2 IS - 1 SP - 29 EP - 30 KW - Aluminum phosphide KW - Poisoning KW - survival KW - Prevention and control DO - 10.15171/jept.2015.07 N2 - Ingestion and inhalation of phosphine are 2 forms of toxicity and their clinical manifestation is extremely wide. A 22-year-old girl was admitted with complaints of nausea, vomiting and epigastric pain after eating lunch. She had a history of celiac disease. On arrival, she was alert and hemodynamically stable. There was not any abdominal tenderness or guarding. Food poisoning treatment initiated but after 1 hour her condition deteriorated with hypotension, tachycardia, and epigastric pain. Venous blood gas (VBG) showed severe metabolic acidosis. She denied any drug ingestion again. New Electrocardiogram (ECG) showed extensive inferolateral ST elevation myocardial infarction (STEMI). Bicarbonate plus dopamine was initiated. After 8 hours of admission, rhythm became ventricular fibrillation (VF) and cardiopulmonary resuscitation (CPR) began. Peritoneal dialysis was performed. Next morning frequent VF occurred again but CPR was unsuccessful. Family found aluminum phosphide (AIP) tablets in her purse. Early diagnosis and supportive treatment may be effective but the most important factor is the dose of ingestion. UR - http://www.jept.ir/article_10164.html L1 - http://www.jept.ir/article_10164_d5dd95c7ec89aa06327f3cf3dcc636b6.pdf ER -