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A Fatal Case of Yellow Phosphorus Poisoning with Refractory Cardiogenic Shock


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1 Department of Medicine, Department of Critical Care, Department of Medicine, Christian Medical College Hospital (CMCH), Vellore, India
     

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Yellow phosphorus (YP), is a commonly used rodenticide paste in India. It is a powerful protoplasmic poison leading to acute fulminant hepatic failure, and has 100 % mortality in patients with delayed presentation. We report a case of a 23 year old man, who presented within 24 hours of consumption of 3% YP with the intent of deliberate self harm. He had a fatal course complicated by refractory cardiogenic shock and multi - organ dysfunction syndrome. Prevention strategies including public awareness of toxicity and restriction of sales of this compound are required on an emergent basis.

Keywords

Yellow Phosphorus, Cardiogenic Shock, Fatal.
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  • A Fatal Case of Yellow Phosphorus Poisoning with Refractory Cardiogenic Shock

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Authors

T. Angel Miraclin
Department of Medicine, Department of Critical Care, Department of Medicine, Christian Medical College Hospital (CMCH), Vellore, India
Turaka Vijay Prakash
Department of Medicine, Department of Critical Care, Department of Medicine, Christian Medical College Hospital (CMCH), Vellore, India
More Atul Ramachandra
Department of Medicine, Department of Critical Care, Department of Medicine, Christian Medical College Hospital (CMCH), Vellore, India
Thambu David Sudarsanam
Department of Medicine, Department of Critical Care, Department of Medicine, Christian Medical College Hospital (CMCH), Vellore, India

Abstract


Yellow phosphorus (YP), is a commonly used rodenticide paste in India. It is a powerful protoplasmic poison leading to acute fulminant hepatic failure, and has 100 % mortality in patients with delayed presentation. We report a case of a 23 year old man, who presented within 24 hours of consumption of 3% YP with the intent of deliberate self harm. He had a fatal course complicated by refractory cardiogenic shock and multi - organ dysfunction syndrome. Prevention strategies including public awareness of toxicity and restriction of sales of this compound are required on an emergent basis.

Keywords


Yellow Phosphorus, Cardiogenic Shock, Fatal.

References





DOI: https://doi.org/10.22506/ti%2F2017%2Fv24%2Fi1%2F149045