Aliasghar Manouchehri; Reza Mohseni Ahangar; Pedram Bigvand; Samaneh Nakhaee; Omid Mehrpour
Volume 21, Issue 3 , 2019, Pages 1-6
Abstract
Introduction: Rodenticides are considered a global challenge to public health. Two major compounds in this category includealuminum phosphide and zinc phosphide. However, the simultaneous use of aluminum phosphide and zinc phosphide has notbeen reported in the literature.Case Presentation: We present ...
Read More
Introduction: Rodenticides are considered a global challenge to public health. Two major compounds in this category includealuminum phosphide and zinc phosphide. However, the simultaneous use of aluminum phosphide and zinc phosphide has notbeen reported in the literature.Case Presentation: We present the case of a 20-year-old female, who was poisoned with both a rice tablet and powdered rat poison.She was admitted to a university- affiliated hospital, Babol, Iran in July 2016. Resuscitative and supportive measures were applied,including prophylactic intubation, gastric lavage with a bicarbonate solution, and intravenous administration of N-acetylcysteine(NAC), magnesium sulfate, calcium gluconate, and bicarbonate compounds. In case of a blood sugar level above 100 mg/dL, regularinsulin was infused. After the diagnosis of phosphine-induced cardiomyopathy, digitization with digoxin was prescribed for thepatient.Conclusions: This case report presents the possible positive effects of digoxin, insulin, and antioxidant therapy on simultaneouspoisoning with aluminum phosphide and zinc phosphide.
