Citation

Zamani N, Hassanian-Moghaddam H, Ebrahimi S. Arh. Hig. Rada Toksikol. 2018; 69(3): 275-277.

Affiliation

Department of Internal Medicine, Loghman-Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Copyright

(Copyright © 2018, Croatian Institute for Medical Research and Occupational Health)

DOI

10.2478/aiht-2018-69-3129

PMID

30285939

Abstract

A 37-year-old male was referred to us about one hour after deliberate ingestion of two 3-gram aluminium phosphide (ALP) tablets. Three hours after admission, his blood pressure dropped to 85/55 mmHg, his heart rate increased to 120 bpm, O2 saturation dropped to 82 %, and the electrocardiogram showed junctional rhythm. We started whole blood exchange, and gross haematuria and jaundice ensued. However, his blood pressure increased, arrhythmia resolved itself, and he was extubated two days after the transfusion was completed. He was sent home seven days after admission completely symptom-free. We believe this treatment may be successfully applied in ALP-poisoned patients.

Language: en

Keywords

arrhythmia; blood pressure; extracorporeal techniques; haematuria; icterus; junctional rhythm; toxicity