Ventricular Arrhythmia Due to Yellow Phosphorus Poisoning
Journal Title: Journal of Case Reports and Studies - Year 2017, Vol 5, Issue 3
Abstract
Background: Ratol paste (Yellow Phosphorus) is a local and systemic toxin affecting almost all the organs of the body especially liver, kidney, brain and heart. There is no specific antidote for yellow phosphorus poisoning. Heart is one of the many organs affected by the YP. However cardiac toxicity following acute ingestion of YP has been reported rarely. Case Report: We report a young female, who had intentionally ingested two tubes of Ratol dissolved in water having a net weight of 35 gm, containing 3% (1.05 gm.) phosphorus. The patient presented to the hospital because of GI symptoms like nausea and vomiting. Following resolution of her symptoms in 24 hours she was discharged. She later presented in peripheral circulatory failure to the same hospital, eventually dying due to ventricular fibrillation. Discussion: Yellow phosphorus is highly toxic compounds which are commonly used for pest control. Ratol paste, a rodenticide containing 3% yellow phosphorus is freely available in India. It is one of the most commonly ingested rodenticides poison. Case reports of accidental and intentional ingestion has been reported due to its easy availability in India. It primarily causes hepatic toxicity leading to hepatic encephalopathy and acute hepatic failure. Cardiac toxicity includes hypotension, tachycardia, ECG changes and arrhythmia. The reported mortality after YP intoxication varies from 23% to 73%, and it is directly related with the ingested dose. Conclusion: Ventricular arrhythmia is an unusual complication of YP poisoning. It may occur as late as 48-72hours. Early improvement should not be interpreted as meaning that serious exposure has not occurred. Identifying exact component of rodenticide before discharge is mandatory. The history of poisoning should always be elicited in all cases presenting with gastrointestinal symptoms.
Authors and Affiliations
Hiran S
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- EP ID EP584516
- DOI 10.15744/2348-9820.5.303
- Views 97
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