Informatics Publishing Limited

Bikram Kumar Gupta ¹, Ghanshyam Yadav ¹, Amiya Kumar Barik ¹, Shailaja Shankar Behera ¹, Dinesh Kumar Singh ¹, Neeraj Kumar ¹

Affiliations
1 Department of Anaesthesiology, I.M.S, B.H.U, Varanasi-221005, Uttar Pradesh, IN

Abstract

Acute aluminum phosphide poisoning (AAlPP) or celphos is one of the most commonly used poisons for suicidal purpose. Number of cases reported to the hospital represents only the tip of an iceberg. Most of the patients succumb to this poison due to inadequate or lack of treatment. In our case, we added levosimendan to the already established treatment guidelines for AAlPP poisoning and we got surprising result as we could discharge the patient from our Intensive Care Unit in just 2 days with all vitals stable.

Keywords

Aluminum Phosphide, Celphos, Levosimendan, Toxicology.

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Gaurav Jain , Dinesh K. Singh , Ghanshyam Yadav

Abstract

We are reporting a case of endosulfan poisoning, admitted in a state of altered consciousness, vomiting, and seizure. The diagnosis was based on history, physical examination and positive reports from toxicological screening. After 8 hrs of admission, a sudden rise in EtCO2, respiratory rate, heart rate, blood pressure, and body temperature was noted. Masseter spasm was there and patient’s elbow/knees could not be bent upon manipulation. Caffeine halothane contraction test later confirmed it to be malignant hyperthermia (MH). We suggest that if there is a sudden rise in body temperature, stiffness in limbs or massater spasm in a case of endosulfan poisoning, the diagnosis of MH should be considered as one possibility when etiology is not certain.

Keywords

Endosulfan, malignant hyperthermia, poisoning, seizure

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