Citation

Hassanian-Moghaddam H, Shahnazi M, Zamani N, Bahrami-Motlagh H. Emerg. Radiol. 2014; 21(3): 329-331.

Copyright

(Copyright © 2014, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s10140-014-1195-3

PMID

unavailable

Abstract

Radiography has been proved to be a good diagnostic tool in visualization of many radiopaque xenobiotics in clinical toxicology. Zinc is a potentially radiopaque material which is a constituent of the zinc phosphide (ZN2P3) rodenticide. We report two cases of zinc phosphide poisoning with positive abdominal X-rays in whom the diagnosis was confirmed by abdominal imaging. Positive abdominal imaging was an indication for aggressive management; however, aggressive treatment was not lifesaving in one of them. We aim to emphasize the diagnostic value of abdominal X-rays in zinc phosphide-poisoned patients. We also would like to suggest that zinc phosphide (ZP)-poisoned patients with positive X-rays have more chance to become unstable even if they are symptom free on presentation and should be more aggressively managed. © 2014 Am Soc Emergency Radiol.

Language: en

Keywords

Humans; Male; Middle Aged; adult; human; male; Poisoning; resuscitation; Suicide, Attempted; case report; abdominal pain; suicide attempt; disease severity; Diagnosis; intoxication; article; unclassified drug; priority journal; middle aged; macrogol; stomach lavage; intensive care unit; radiodiagnosis; diagnostic value; bicarbonate; creatinine; creatinine blood level; respiratory failure; rodenticide; dyspnea; nausea and vomiting; intestine lavage; charcoal; sorbitol; nasogastric tube; abdominal radiography; metoclopramide; Rodenticides; oxygen saturation; respiratory tract intubation; blood gas analysis; ranitidine; arterial gas; continuous infusion; phosphine derivative; Phosphines; cardiopulmonary insufficiency; arterial pH; respiratory distress syndrome; bicarbonate blood level; Radiography, Abdominal; Zinc phosphide; Zinc Compounds; zinc derivative; defecation; diagnostic test accuracy study; alkalosis; Abdominal imaging; zinc phosphide; zinc phosphide poisoning