White phosphorus poisoning by oral ingestion of firecrackers or little devils: Current experience in Ecuador

González-Andrade, Fabricio; López-Pulles, Ramiro

doi:10.3109/15563650.2010.547860

Cited by 21 publications

(17 citation statements)

References 21 publications

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“…The myelosuppression selectively involving the myeloid series and sparing other lineages as seen in our case, was not reported by Tafur et al 9 A more recent study from Ecuador reported that apart from vomiting, diarrhoea, and abdominal cramps, abnormal liver enzymes and coagulation times were the major clinical features of yellow phosphorus toxicity. 13 However, no abnormalities of blood counts or bone marrow suppression were reported by the authors.…”

Section: Discussionmentioning

confidence: 89%

Selective myelosuppression following yellow phosphorus ingestion

Basheer

Mookkappan

Padhi

et al. 2015

amj

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Toxicity from accidental and intentional ingestion of yellow phosphorus, ubiquitously present in fireworks and rodenticides, has recently become more frequent. Gastrointestinal, renal, neurologic, and cardiovascular manifestations are common, with mortality of 23 per cent to 73 per cent. Reports of haematological abnormalities are rare. We report only the second case of severe neutropenia secondary to selective myelosuppression in a 14-year-old girl following intentional ingestion of yellow phosphorus. Leucocyte counts recovered spontaneously without further complications. Our case indicates that, besides hepatic and renal function monitoring, physicians should meticulously monitor blood counts in such cases for early detection of marrow suppression. Further studies are required to elucidate the complex mechanisms and significance of this unusual toxicity of yellow phosphorus.

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Section: Discussionmentioning

confidence: 89%

Selective myelosuppression following yellow phosphorus ingestion

Basheer

Mookkappan

Padhi

et al. 2015

amj

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“…Also, decreased ventricular contractility has been reported [2]. In a cross sectional study where 85 patients were studied, dysrhythmias were noted in only two patients, another four showed tachybradycardia [8]. Damage to myocardium on post mortem histological examination was seen in a number of cases.…”

Section: Discussionmentioning

confidence: 99%

Persistent Left Ventricular Dysfunction in a Teenager with Yellow Phosphorous Poisoning

P¹,

V²,

Suresh³

2015

JCR

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Yellow phosphorous is a chemical compound used widely as a rodenticide and in fireworks. Due to its easy availability in India, consumption with suicidal intention is common. Liver is the organ most commonly involved. Though cardio-toxicity manifesting as hypotension, tachycardia, arrhythmias and transient electrocardiogram changes is well known, a persistent left ventricular dysfunction is yet to be reported. We report a case of persistent left ventricular dysfunction as a long term sequelae in a teenager with intentional consumption of this compound. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (creativecommons.org/licenses/by/3.0) Conflict of interest: None declared | Source of funding: Nil | DOI: http://dx.

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“…(8) Cardiac toxicity includes hypotension, tachycardia, arrhythmias, and cardiogenic shock (9) .Alteration in ECG such as inverted T waves, changes in QRS complex, tachycardia, arrhythmias and decreased ventricular contractility has been reported (8) . In a cross sectional study where 85 patients were studied, dysrhythmias were noted in only two patients, another four showed tachy-bradycardia (10) . Damage to myocardium reported in studies included fatty infiltration of the muscle, markedly dilated heart chambers, and necrosis of myocardium (8) .…”

Section: Discussion:-mentioning

confidence: 99%