TYPICAL CHEST PAIN AND CARDIOGENIC SHOCK, REVEALED DUE TO ALUMINUM PHOSPHIDE TOXICITY, A CASE REPORT

Background and Aim : Aluminum phosphide is a highly insecticide and fumigant which usesfrequently to protect stored grains. Acute poisoning with this compound is common in somecountries including Iran and India It became a serious health problem. In this study we presenteda patient with chest pain, who was primarily suspected for cardiogenic shock but during his cardiacadministrations and his blood gasses result, he confessed aluminum phosphide ingestion to commitsuicide, despite all treatments his condition became deteriorated and after 48 hours he died. Theaim of this study was to emphasize non-specific clinical manifestations consider about poisoningin all setting. And any type of cardiac dysrhythmia which be seen in aluminum phosphidepoisoning.Methods : it is a case report study, therefore there isn t method section.Results : The medical point of view is the doctors examining. Patients even with non-specificsymptoms should suspected phosphine poisoning, enlightening physicians to any more attention,taking in to account any medical history should actively look for the possible source of poisoningin other hand, even if there is no effective antidote. Clinical improvement of the poisoned patientscan be expected and paraclinical examination within the context can be carried out. Mean wisemaybe this shows the importance of VBG in patients with cardiogenic shock, so that in any patientswith cardiogenic shock and severe metabolic acidosis we should think about ALP poisoning.Conclusion : as the same in results.

Keywords:

aluminum phosphide toxicity , chest pain , cardiogenic shock