Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Evaluation of Histopathological Changes in Fatal Aluminum Phosphide Poisoning


Affiliations
1 Department of Forensic Medicine, Faculty of Medicine, Medical Sciences/University of Tehran, Iran, Islamic Republic of
2 Department of Forensic Pathology, Scientific and Educational Research Center of Legal Medicine Organization of Iran, Tehran, Iran, Islamic Republic of
3 Department of Forensic Toxicology, Scientific and Educational Research Center of Legal Medicine Organization of Iran, Tehran, Iran, Islamic Republic of
4 Loghman Hakim Poison Center, Faculty of Medicine, Medical Sciences/University of Shaheed Beheshti, Tehran, Iran, Islamic Republic of
5 Autopsy Service, Scientific and Educational Research Center of Legal Medicine Organization of Iran, Tehran, Iran, Islamic Republic of
     

   Subscribe/Renew Journal


This study examines histopathological changes of human organs in cases with aluminum phosphide fatal poisoning. The cases with aluminum phosphide fatal poisoning in Tehran Legal Medicine Center over 12 month period starting in March 2006, were studied. Necropsy was performed for all cases and liver, lung, brain, kidney and spleen were collected from all cases and fixed in formaldehyde solution (37% formalin).Tissue specimens were taken from organs and processed by routine histological method. Then any histhopathological changes were recorded by pathologist. In gross examination, almost all the vital organs were found to be congested. In microscopic study, the most frequent histopathological findings in liver were central venous congestion, degeneration of hepatocytes and mononuclear infiltration. In lung, alveolar thickening, and dilated capillaries were detected. Findings in the brain tissue revealed degenerated Nissel granule in the cytoplasm and deeply stained degenerated eccentric nucleus in brain cortex. Changes in the kidney included glomerulus's and intraparanchymal congestion. These findings indicated that histopathological changes are common in aluminum phosphide fatal poisoning.

Keywords

Aluminum Phosphide, Histopathology, Fatal Poisoning.
Subscription Login to verify subscription
User
Notifications
Font Size


  • Abdollahi M, Jalali N, Sabzevari O, Hoseini R, Ghane T. A retrospective study of poisoning in Tehran. J Toxicol Clin Toxicol, 1997; 35:387-93.
  • Abdollahi M, Jalali N, Sabzevari O, Nikfar S, Fallahpour M. Pesticide poisoning during an 18-month period (1995- 1997) in Tehran, IRAN. Irn J Med Sci, 1999; 24: 77-81.
  • Nikfar S, Abdollahi M, Cheraghali A. Going from strength to strength; A drug and poison information centre. Essent Drugs Monit 2000; 28: 30-31.
  • Soltaninejad K, Faryadi M, Sardari F. Acute pesticide poisoning related deaths in Tehran during the period 2003-2004. J Forensic Leg Med, 2007; 14(6):352-54.
  • Shadnia S, Rahimi M, Pajoumand A, Rasouli MH, Abdollahi M. Successful treatment of acute aluminum phosphide poisoning: possible benefit of coconut oil. Hum Exp Toxicol 2005; 24: 215-18.
  • Pajoumand A, Jalali N, Abdollahi M, Shadnia S. Survival following severe aluminum phosphide poisoning. J Pharm Pract Res, 2002; 32: 297-99.
  • Gupta S, Ahlawat SK. Aluminum phosphide poisoning, a review. J Toxicol Clin Toxicol, 1995; 33: 19-24.
  • www.inchem.org/documents/pims/chemical/pim865.htm
  • Singh S, Bhalla A, Verma SK, Kaur A, Gill K. Cytochrom-C oxidase inhibition in ALP poisoned patients. Clin Toxicol (phila) 2006; 44(2):155-58.
  • Chugh SN, Dushyant Ram S ,Arora B, Malhotra GC. Incidence and outcome of aluminum phosphide poisoning in a hospital study. Indian J Med Res, 1991; 94:232-35.
  • Sinha US, Kapoor AK, Singh AK, Gupta A, Mehrotra R. . Histopathological changes in cases of aluminum phosphide poisoning. Indian J Pathol Microbiol, 2005; 48(2):177- 80.
  • Okolie NP, Aligbe JU, Osakue EE. Phostoxin-induced biochemical and pathomorphologiacal changes in rabbits. Indian J Exp Biol, 2004; 42(11): 1096-99.
  • Arora B, Punia RS, Kalra R Histopathological changes in aluminum phosphide poisoning. J Indian Med Assoc, 1994; 93:380-81.
  • Siwach SB, Yadav DR, Arora B, Dalal S, Jagdish .Acute aluminum phosphide poisoning: An epidemiological clinical and histopathological study. J Assoc Physicians India, 1988;36:594-6.
  • Saleki S, Ardalan FA, Javidan-Nejad A. Liver histopathology of fatal phosphine poisoning. Forensic Sci Int, 2007; 166(2-3):190-93.
  • Singh S, Singh D, Wig N, Jit I, Sharma BK. Aluminum phosphide ingestion—a clinico-pathologic study. J Toxicol Clin Toxicol, 1996; 34(6):703-6.
  • Siwach SB, Dua A, Sharma R, Sharma D, Mehla RK. Tissue magnesium content and histopathological changes in non-survivors of aluminum phosphide poisoning. J Assoc Physicians India, 1994; 43:676-78.
  • Siwach SB, Gupta A. The profile of acute poisoning in Harajana-Rohtak study. J Assoc Physician India, 1995; 43: 756-59.

Abstract Views: 234

PDF Views: 0




  • Evaluation of Histopathological Changes in Fatal Aluminum Phosphide Poisoning

Abstract Views: 234  |  PDF Views: 0

Authors

Omid Mehrpour
Department of Forensic Medicine, Faculty of Medicine, Medical Sciences/University of Tehran, Iran, Islamic Republic of
Mandana Dolati
Department of Forensic Pathology, Scientific and Educational Research Center of Legal Medicine Organization of Iran, Tehran, Iran, Islamic Republic of
Kambiz Soltaninejad
Department of Forensic Toxicology, Scientific and Educational Research Center of Legal Medicine Organization of Iran, Tehran, Iran, Islamic Republic of
Shahin Shadnia
Loghman Hakim Poison Center, Faculty of Medicine, Medical Sciences/University of Shaheed Beheshti, Tehran, Iran, Islamic Republic of
Bashir Nazparvar
Autopsy Service, Scientific and Educational Research Center of Legal Medicine Organization of Iran, Tehran, Iran, Islamic Republic of

Abstract


This study examines histopathological changes of human organs in cases with aluminum phosphide fatal poisoning. The cases with aluminum phosphide fatal poisoning in Tehran Legal Medicine Center over 12 month period starting in March 2006, were studied. Necropsy was performed for all cases and liver, lung, brain, kidney and spleen were collected from all cases and fixed in formaldehyde solution (37% formalin).Tissue specimens were taken from organs and processed by routine histological method. Then any histhopathological changes were recorded by pathologist. In gross examination, almost all the vital organs were found to be congested. In microscopic study, the most frequent histopathological findings in liver were central venous congestion, degeneration of hepatocytes and mononuclear infiltration. In lung, alveolar thickening, and dilated capillaries were detected. Findings in the brain tissue revealed degenerated Nissel granule in the cytoplasm and deeply stained degenerated eccentric nucleus in brain cortex. Changes in the kidney included glomerulus's and intraparanchymal congestion. These findings indicated that histopathological changes are common in aluminum phosphide fatal poisoning.

Keywords


Aluminum Phosphide, Histopathology, Fatal Poisoning.

References