Aluminium Phosphide Poisoning which Occuring with an Unusual Accident and Resulting in Death: Case Report
DOI:
https://doi.org/10.17986/blm.2018238627Keywords:
Aluminum phosphide, poisoning, autopsy, toxicologyAbstract
Aluminium phosphide is an insecticide that shows highly toxic activity when it reacts with water or moister and becomes phosphine. Because it has high diffusion capacity, it can kill all the organisms in different growth phases in the area that it is used. However, it is used frequently due to not to find rests on plants. There is not a specific antidote for aluminium phosphide and mortality from 30% to 100% in poisoning and it is related with exposure. In this study, we present 13 years girl case who was poisoned by aluminium phosphide. He was found in his apartment which is at first floor, after fumigation of food store at the basement. We aim to evaluate by autopsy findings, chemical and histopathological findings together and to discuss with literature results. In addition, we want to discuss about solution of uncontrolled dealing and using of aluminium phosphide in our country.
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German JR, Rössel PR. Poisoning with aluminum phosphide can be life-threatening for patients as well as health professionals. Ugeskr Laeger. 2013;175:1706-7
Siwach SB, Gupta A. The profile of acute poisonings in Harayana Rohtak Study. J Assoc Physicians India. 1995;43:756-9
Mehrpour O, Singh S. Rice tablet poisoning: a major concern in Iranian population. Hum Exp Toxicol. 2010;29:701-2 DOI: https://doi.org/10.1177/0960327109359643
Chugh SN, Arora V, Sharma A, Chugh K. Free radical scavengers & lipid peroxidation in acute aluminium phosphide poisoning. Indian J Med Res. 1996;104:190-3
Solgi R, Abdollahi M. Proposing an antidote for poisonous phosphine in view of mitochondrial electrochemistry facts. J Med Hypotheses Ideas. 2012;6:32-4 DOI: https://doi.org/10.1016/j.jmhi.2012.03.011
Bogle RG, Theron P, Brooks P, Dargan PI, Redhead J. Aluminium phosphide poisoning. Emerg Med J. 2006;23:1. https://doi.org/10.1136/emj.2004.015941 DOI: https://doi.org/10.1136/emj.2004.015941
Orkun Tolunay, Tamer Çelik, Gülperi Yücel, Ulaş Özdemir, Anıl Atmış, Asena Sucu, Ümit Çelik. Nadir ama Ölümcül Olabilen Bir Zehirlenme: Alüminyum Fosfit Zehirlenmesi. J Pediatr Emerg Intensive Care Med 2017;4:27-9
Gurjar M, Baronia AK, Azim A, Sharma K. Managing aluminum phosphide poisonings. J Emerg Trauma Shock. 2011;4:378-84 DOI: https://doi.org/10.4103/0974-2700.83868
Mehrpour O, Jafarzadeh M, Abdollahi M. A systematic review of aluminium phosphide poisoning. Arh Hig Rada Toksikol. 2012;63:61-73 DOI: https://doi.org/10.2478/10004-1254-63-2012-2182
Etemadi-Aleagha A, Akhgari M, Iravani FS. Aluminum Phosphide Poisoning-Related Deaths in Tehran, Iran, 2006 to 2013. Medicine (Baltimore). 2015;94:1637 DOI: https://doi.org/10.1097/MD.0000000000001637
Chaudry D, Rai AS. N-acetyl cysteine in aluminum phosphide poisoning: Myth or hope. Indian J Crit Care Med. 2014;18:646-7 DOI: https://doi.org/10.4103/0972-5229.142172
Chacko J, Shivaprasad C. Fatal aluminium phosphide poisoning due to myocardial depression refractory to high dose inotropic support and intra-aortic balloon counterpulsation. Indian J Crit Care Med. 2008;12:37-8 DOI: https://doi.org/10.4103/0972-5229.40949
Shadnia S, Mehrpour O, Abdollahi M. Unintentional poisoning by phosphine released from aluminum phosphide. Human Exper Toxicol 2008;27:87–89 DOI: https://doi.org/10.1177/0960327107086241
Musshoff F, Preuss J, Lignitz E, Madea B. A gas chromatographic analysis of phosphine in biological material in a case of suicide. Forensic Sci Int. 2008;177:35–38 DOI: https://doi.org/10.1016/j.forsciint.2007.12.007
Shields LBE, Hunsaker DM, Hunsaker Iii JC, Ward MK. Toxicologic findings in suicide: a 10-year retrospective review of Kentucky medical examiner cases. Am J Forensic Med Pathol. 2006;27:106–112 DOI: https://doi.org/10.1097/01.paf.0000220913.19508.99
Soltaninejad K, Nelson LS, Bahreini SA, Shadnia S. Fatal aluminum phosphide poisoning in Tehran—Iran from 2007 to 2010. Indian J Med Sci. 2012;66:66–70 DOI: https://doi.org/10.4103/0019-5359.110909
Dias D, Mendonc¸a MC, Real FC, Vieira DN, Teixeira HM. Suicides in the Centre of Portugal: seven years analysis. Forensic Sci Int. 2014;234:22–28 DOI: https://doi.org/10.1016/j.forsciint.2013.10.034
Siwach SB, Gupta A. The profile of acute poisonings in Harayana Rohtak Study. J Assoc Physicians India. 1995;43:756-9
Hajouji-Idrissi M, Oualili L, Abidi K, et al. Severity factors of aluminium phosphide poisoning (Phostoxin). Ann Fr Anesth Reanim. 2006;25:382–385 DOI: https://doi.org/10.1016/j.annfar.2005.12.004
Murali R, Bhalla A, Singh D, et al. Acute pesticide poisoning: 15 years experience of a large North-West Indian hospital. Clin Toxicol (Phila). 2009;47:35–38 DOI: https://doi.org/10.1080/15563650701885807
Ekinci F, Yıldızdaş RD, Horoz ÖÖ, Tolu Kendir Ö 3, Petmezci E, Tolunay İ, Yılmaz HL. Aluminium Phosphide Poisoning: Two Pediatric Patients and Two Different Clinical Outcomes. J Pediatr Emerg Intensive Care Med 2017;4:72-76 DOI: https://doi.org/10.4274/cayd.41275
Tolunay O, Çelik T, Yücel G, Özdemir U, Atmış A, Sucu A, Çelik Ü. A Rare but Potentially Fatal Poisoning; Aluminum Phosphide Poisoning. J Pediatr Emerg Intensive Care Med 2017;4:27-29 DOI: https://doi.org/10.4274/cayd.29484
Hakimoğlu S, Dikey İ, Sarı A, Kekeç L, Tuzcu K, Karcıoğlu M. Successful Management of Aluminium Phosphide Poisoning Resulting in Cardiac Arrest. Turk J Anaesth Reanim 2015; 43: 288-90 DOI: https://doi.org/10.5152/TJAR.2015.75010
Demir U, Hekimoğlu Y, Aşırdizer M, Etli Y, Kartal E, Gümüş O. A case who died due to the suicidal intake of aluminum phosphide. Cumhuriyet Medical Journal 2017;39:458-465 DOI: https://doi.org/10.7197/cmj.v39i1.5000206760
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