The Successful Treatment Of Aluminium Phosphide Poisoning With Limited Resources
2316-2319
Correspondence
Dr. Ashish Agrawal,C/O Sh. M.M.K.Goyal
Bank of Maharashtra,SCF 10-11, Model Town, Phase-1,Bhatinda,Punjab-151003 Mobile-09555984371 E.mail:ashuagrawal3008@gmail.com
Celphos (trade name for aluminium phosphide) poisoning is a major cause of morbidity and mortality in northwest and central India. The outcome is poor, largely due to delay in appropriate management and skepticism amongst physicians regarding the outcome. Things are further complicated by limited resources in tier 3 cities where most of the cases present initially. In this case, the favourable outcome was largely attributable to episodes of vomiting and aggressive gastric lavage done by an unacknowledged person, who first came in contact with the patient. Still, the patient presented with typical signs and symptoms of celphos poisoning and was managed well with saline lavage, IV Fluids, inj. Magnesium sulphate, inj. Hydrocortisone and broad spectrum antibiotics. In the absence of any specific antidote, management of celphos poisoning hinges on early aggressive gastric lavage and appropriate supportive measures dictated by the presenting sign and symptoms of the patient. The role of Magnesium Sulphate is not clearly documented, but it is used widely based on the membrane stabilizing action and hypo-magnesemia documented in some Aluminium Phosphide Poisoning cases.