Open AccessUnusual complication of aluminum phosphide poisoning: Development of hemolysis and methemoglobinemia and its successful treatment
Author(s) -
Kambiz Soltaninejad,
Lewis S. Nelson,
Nastaran Khodakarim,
Zohreh Dadvar,
Shahin Shadnia
Publication year - 2011
Publication title -
indian journal of critical care medicine/indian journal of critical care medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.317
H-Index - 30
eISSN - 1998-359X
pISSN - 0972-5229
DOI - 10.4103/0972-5229.83021
Subject(s) - methemoglobinemia , medicine , methemoglobin , hemolysis , methylene blue , ascorbic acid , ingestion , complication , anesthesia , surgery , hemoglobin , food science , biochemistry , chemistry , photocatalysis , catalysis
Methemoglobinemia and hemolysis are rare findings following phosphine poisoning. In this paper, a case of aluminum phosphide (AlP) poisoning complicated by methemoglobinemia and hemolysis with a successful treatment is reported. A 28-year-old male patient presented following intentional ingestion of an AlP tablet. In this case, hematuria, hemolysis and methemoglobinemia were significant events. A methemoglobin level of 46% was detected by CO-oximetry. The patient was treated with ascorbic acid and methylene blue and he also received supportive care. Two weeks after admission, the patient was discharged from the hospital. Hemolysis and methemoglobinemia may complicate the course of phosphine poisoning.