SEVERE PESTICIDE POISONING BY ALUMINIUM PHOSPHIDE FUMIGANT TYPE PESTICIDE SANTA BARBARA HOSPITAL, 2014 A CASE REPORT
DOI:
https://doi.org/10.52428/20756208.v10i23.557Keywords:
Aluminum phosphide, Pesticide, Suicidal IntentAbstract
Acute aluminum phosphide poisoning is lethal and its toxic component is a gas called phosphine. This substance is a pesticide used to conserve grain crop, which is highly toxic to insects in all its stages.
Voluntary ingestion is a suicidal intent. In humans, death occurs because of a deep state of shock, myocarditis, lethal arrhythmias and multiple organ failure. The lethal dose of the poison range goes from 50mg to 500 mg. Even a Iower dosage can provoke death. The mortality rate reported in the literature varies between 40% and 80%, has conditioned the highest number of deaths compared to all the poisons used. This poison has usually been used as a method of suicide attempt in adolescents and young people in rural areas. For its high lethality is imperative to know their clinical presentation.
The case reported a 15 years old female patient from the municipality of Yamparaez with a history of intentional ingestion of pesticides, coming to the emergency room one hour after ingestion, presenting altered state of consciousness when admission occurred, with frank respiratory failure, hypotensive, tachycardia, tachypnea. After completion of all the measures for decontamination and hemodynamic support for 9 hours, the patient died.
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References
NATH MS, BHATACHARYA l, TUCK AG, ET AL. Mechanisms of phosphide toxicity. J Tóxicol 2011 ; ID: 494169, 9.
WAHAB A, ZAHEER MS, WAHAB S, KHAN RA. Acute aluminium phosphide poisoning: an update. H Kong J Emerg Med 2008; 15:152-5.
MATHAL A, BHANU MS. Acute aluminium phosphide poisoning: Can we predict mortality? Ind J Anaesth 2010; 54 (4):302-7.
NAVERO JLP, DE LA ROSA ll, PÉREZ MA ET AL. Intoxicación letal por inhalación accidental de fosfuro alumínico. Ann Pediatr 2009; 07.025:1-4.
GURJAR M, BARONIA AK, AZIM A, SHARMA K. Managing aluminium phosphide poisoning. J Emer Trauma Shock 2011 ;
LÓPEZ l, LOZANO JJ. Edema agudo de pulmón no cardiogénico en pacientes intoxicados por fosfuro de zinc. Reporte de Dos Casos Med Int Mex 2008; 24(6):424-7.
BELLA ME, FERNÁNDEZ RA, WILLINGTON JM. Intento de suicidio en niños y adolescentes: depreSión y trastornos de la conducta disocial como patologías más frecuentes. Arch Arg Pediatr 2010;
WASSELING C, ARAGÓN A, CASTILLO L, CORRIOLA M, CHAVERRI F, DE LA CRUZ E, ET AL. Consideraciones sobre plaguicidas peligrosos en América Central. Manejo Integrado de Plagas y Agroecología 2003; 68:7-18.
HERRERA A, SOLÓRZANO L, BASAURI VA, CALDERA T. Suicidios en Centroamérica y República Dominicana, 1998-2008. Ciud Psiquiatr Comunitaria 2009;9(2):177-86
AHDACIC-GROSS V, WEISS MG, RING M, ET AL. Methods of suicide: International suicide patterns derived from the WHO mortality database. Bulletin of WHO 2008; 86:726-72.
SRIVIVAS RAO CH, VENKATESWARLU V, SURCNDER T, ET AL. Pesticide poisoning in South IndiaOpportunities for prevention and improved medical management. Trop Med Int Health 2005;10(6):58188.
SINGH S, BHALLA A. Cytocrhrome-C oxidase inhibition in 26 aluminium phosphide poisoned patients. Clin Tóxicology 2006;44:155-8.
PROUDFOTT AT, Aluminium and zinc phosphide poisoning. Clin Tóxicol (Phila) 2009;47(2):89-100.
MEHRPOUR O, ALFRED S, SHADNIA S, ET AL. Hiperglycemia in acute aluminium phosphide poisoning as a potential prognostic factor. Hum Exp Tóxicol 2008;27(7):591-95.
SHADNIA S, SASSANIAN G, ALLAMI P, ET AL. A retrospective 7-years study of aluminium phosphide poisoning in Tehran: opportunities for prevention. Hum Exp Tóxicol 2009;28(4):209-13.
FIELD JM, HAZINSKI ME SAYRE MR, ET AL. 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Cares Circulation
RAMÍREZ CS, RUÍz DD, DELGADO FC, AGUIRRE CF, FERNÁNDEZ JM, FERNÁNDEZ JG.
Utilidad de plasmaféresis en cuidados intensivos. Medicina Intensiva
CARRO N. Oxigenación con membrana extracorpórea ECMO. Revis Latinoamer Tecnol Extracorp
TRUJILLO FA, PÉREZ MH, BORRAYO yc. Intoxicación por fosfina en el personal sanitario. Gaceta Médica de México 2011
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