Persistent Left Ventricular Dysfunction in a Teenager with Yellow Phosphorous Poisoning

P, Pooja; V, Padmakumar A; Suresh, Chandan Garud

doi:10.17659/01.2015.0034

Cited by 3 publications

(2 citation statements)

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“…Since this is an increasingly prevalent public health issue, steps should be taken to create and monitor a database containing all reported yellow phosphorus poisoning. 20,21 Some recommended measures are secure storage by the manufacturing industry, restricted accessibility and strict monitoring of stocks. 21 Widespread public awareness about the potential lethality, training of primary healthcare physicians regarding the delayed onset toxidrome, steps to ensure vigilant monitoring and reporting are essential to curb phosphorus poisoning.…”

Section: Discussionmentioning

confidence: 99%

Clinical spectrum of yellow phosphorous poisoning in a tertiary care centre in South India: a case series

et al. 2016

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Rodenticides such as yellow phosphorus are highly toxic compounds which are commonly used for pest control. Reports of yellow phosphorus poisoning from tropical nations is scanty. In this retrospective study, we report the clinical features, mortality and predictors of mortality among nine patients at a tertiary care centre in south India. Yellow phosphorus consumption was common among a younger age group of patients. The mean duration of presentation after consumption was five days. The most common clinical manifestations seen were abdominal pain and vomiting followed by a depressed sensorium. Features of acute liver failure including coagulopathy were seen in all patients. Despite all patients receiving supportive therapy, a poor outcome or death resulted in the majority. Early referral to a tertiary care centre, meticulous monitoring and supportive measures are key elements of patient management as there are no specific antidotes available at present. Increase in public and physician awareness to the toxin and implementation of preventive policies is of utmost importance.

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Section: Discussionmentioning

confidence: 99%

Clinical spectrum of yellow phosphorous poisoning in a tertiary care centre in South India: a case series

et al. 2016

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“…Varying mortality rates have been reported ranging from 25% to 77% in various rodenticide poisoning studies available [11,12].Out of 13 patients with ST depression with t-wave inversion 10 patients expired, three out of eight patients with QT prolongation expired, one patient atrial fibrillation expired and no mortality was observed in sinus bradycardia group. Mortality of 23% in our study is comparable to other previous studies.…”

Section: Methodsmentioning

confidence: 99%

A Study on Ecg Findings in Acute Liver Cell Failure Due to Rat Killer Paste Poisoning

AL,

et al. 2024

Asian J Pharm Clin Res

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Objectives: The objective of this study was to study the various electrocardiogram (ECG) manifestations in patients who develop acute liver cell failure due to rat killer paste poisoning. Methods: Patients who developed acute liver cell failure due to rat killer paste ingestion admitted during the time period of July 2022–December 2022 in our institution were taken up for the study. Serial ECG monitoring was done in all these patients and observed for any changes. Results: Eighty-eight cases of rat killer paste poisoning that developed acute liver failure during this time period were included in the study. Out of 88 patients, 24 patients (27%) had ECG manifestations. The different ECG manifestations are ST depression with T wave inversion – 13 patients (10 expired), QT prolongation – 8 patients (3 expired), sinus bradycardia – 2 patients, and atrial fibrillation with rapid ventricular rate – 1 patient (expired). The mean time of onset of ECG findings is 22 h from intake of poison. The overall mortality rate is 23% (20 patients). About 70% of expired patients (14 patients) had abnormal ECG manifestations. Conclusion: ST depression with T wave inversion was the most common ECG manifestation due to rat killer paste poisoning in our study and it correlates with mortality. Since cardiotoxicity due to rat killer paste poisoning is also a major contributor to mortality, proper measures have to be taken to create awareness to the general public regarding the toxicity of rat killer paste.

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Role of ECMO in life threatening intoxication

Gupta

Gupta²,

Wander³

2018

The Egyptian Journal of Critical Care Medicine

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Persistent Left Ventricular Dysfunction in a Teenager with Yellow Phosphorous Poisoning

Cited by 3 publications

References 11 publications

Clinical spectrum of yellow phosphorous poisoning in a tertiary care centre in South India: a case series

Clinical spectrum of yellow phosphorous poisoning in a tertiary care centre in South India: a case series

A Study on Ecg Findings in Acute Liver Cell Failure Due to Rat Killer Paste Poisoning

Role of ECMO in life threatening intoxication

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