RARE SURVIVAL AFTER SEVERE ALUMINIUM PHOSPHIDEPOISOININGAFTER MYOCARDITISWITH L-CARNITINE AND STEROID

Authors

  • Sumit Bhatnagar Assistant Professor, Department of Medicine, L. N. Medical College and Hospital, Bhopal
  • Vishnu Pal Department of Anatomy, Mahaveer Medical College and Research Centre, Bhopal

Keywords:

Celphos, Aluminium Phosphide, Survival, Myocarditis, L-Carnitine

Abstract

Acute Aluminium Phosphide or Celphos poisoning is a common agrochemical fumigant used commonly in countries like South East Asia and China. It is extremely lethal poison as there is no specific antidote and involvement of multisystem organ involvement in a short span of time. Presenting a case of a patient took two tablets of Celphos and developed myocarditis with persistent hypotension due to myocarditis and ventricular tachyarrhythmia, which reverted to normal with steroid, L-carnitine and magnesium therapy, which is a rare entity to the best of our knowledge.

 

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References

Kumar A, Pathak A, Verma A, Kumar S. Accidental inhalational poisoning by multiple pesticides of organophosphorus group in an aged person; an uncommon occurrence. J Forensic Med Toxicol 2012;29:78–83.

Gunnell D, Eddleston M. Suicide by intentional ingestion of pesticides: a continuing tragedy in developing countries. Int J Epidemiol 2003;32:902–9.

Meena HS, Murthy OP, Bose S, Bhatia S, Dogra TD. Aluminum phosphide poisoning. J Forensic Med Toxicol 1989;11:19-30.

World health organization Phosphine (environmental Health criteria). Geneva, WHO; 1988. p. 80-3.

Eddleston M. Patterns and problems of deliberate self poisoning in the developing World. Q J Med 2000;93:715-31.

Chefurka W, Kashi KP, Bond EJ. The effect of phosphine on electron transport of mitochondrion. Pestic Biochem Physiol 1976;6:65-84.

Vij K. Forensic Medicine and Toxicology. 2nd edn. New Delhi: BI Churchill Livingstone; 2002. p. 969-75.

Popp W, Mentfewitz J, Gotz R, Voshaar T. Phosphine poisoning in a German office. Lancet 2002;359:1574.

Musshoff F, Preuss J, Lignitz E, Madea Betal. A gas chromatographic analysis of phosphine in biological material in a case of suicide. Forensic Sci Int 2008;177:e35-e38.

Sinha K. 40% of India ’ s suicides in four southern states; the Times of India; 2012.

Eddleston M, Buckley NA, Eyer P, Dawson AH. Management of acute organophosphorus pesticide poisoning. Lancet 2008;371:597–607.

Published

01-09-2015

How to Cite

Bhatnagar, S., and V. Pal. “RARE SURVIVAL AFTER SEVERE ALUMINIUM PHOSPHIDEPOISOININGAFTER MYOCARDITISWITH L-CARNITINE AND STEROID”. International Journal of Pharmacy and Pharmaceutical Sciences, vol. 7, no. 9, Sept. 2015, pp. 522-3, https://mail.innovareacademics.in/journals/index.php/ijpps/article/view/7976.

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Case Study(s)