Saffaei, Ali, Zahed, Narges Sadat, Shadnia, Shahin, Erfantalab, Peyman, Rahimi, Mitra. (1401). Normal Acid Base Balance in aluminum phosphide poisoning: Case reports of a rare presentation. , 11(4), 177-179. doi: 10.22038/apjmt.2023.21890
Ali Saffaei; Narges Sadat Zahed; Shahin Shadnia; Peyman Erfantalab; Mitra Rahimi. "Normal Acid Base Balance in aluminum phosphide poisoning: Case reports of a rare presentation". , 11, 4, 1401, 177-179. doi: 10.22038/apjmt.2023.21890
Saffaei, Ali, Zahed, Narges Sadat, Shadnia, Shahin, Erfantalab, Peyman, Rahimi, Mitra. (1401). 'Normal Acid Base Balance in aluminum phosphide poisoning: Case reports of a rare presentation', , 11(4), pp. 177-179. doi: 10.22038/apjmt.2023.21890
Saffaei, Ali, Zahed, Narges Sadat, Shadnia, Shahin, Erfantalab, Peyman, Rahimi, Mitra. Normal Acid Base Balance in aluminum phosphide poisoning: Case reports of a rare presentation. , 1401; 11(4): 177-179. doi: 10.22038/apjmt.2023.21890

Normal Acid Base Balance in aluminum phosphide poisoning: Case reports of a rare presentation

Asia Pacific Journal of Medical Toxicology
دوره 11، شماره 4، زمستان 2022، صفحه 177-179    اصل مقاله (688.24 K)
نوع مقاله: Case Report
شناسه دیجیتال (DOI): 10.22038/apjmt.2023.21890
نویسندگان
Ali Saffaei1؛ Narges Sadat Zahed2؛ Shahin Shadnia3؛ Peyman Erfantalab4؛ Mitra Rahimi* 5
1Department of Clinical Pharmacy, School of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2Department of Nephrology, Shahid Beheshti University, Loghman-Hakim Hospital, Tehran, Iran.
3Toxicology Research Center, Excellence Center of Clinical Toxicology AND Department of Clinical Toxicology, Loghman Hakim Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4Toxicological Research Center, Department of Clinical Toxicology, Shahid Beheshti University of Medical Sciences, Loghman Hakim Hospital, Tehran, Iran.
5Shahid Beheshti University of Medical Sciences
چکیده
Introduction: Aluminum phosphide (AlP) is an effective fumigant and rodenticide which is a commonly used agent for suicide in parts of developing countries. AlP poisoning results in serious manifestations involving many vital organs and it has high mortality. Electrolyte and metabolic abnormalities including metabolic acidosis is a common problem in AlP poisoning. 
Case report: Here, we report two cases of AlP poisoning who take AlP tablets intentionally. The therapeutic intervention initiated for both of them including glucose, insulin, and potassium (GIK) protocol, antioxidants agents, intravenous magnesium, intravenous calcium, and norepinephrine. The arterial blood samples obtained in a serial manner and interestingly it showed no abnormality.
Conclusion: This is first cases of AlP poisoning with normal acid base balance which emphasis the importance the early initiation of therapeutic intervention
کلیدواژه‌ها
Aluminum phosphide؛ acidosis؛ Poisoning؛ Toxicity؛ blood gas
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