Short communication, Note
https://doi.org/10.2478/aiht-2018-69-3129
Whole blood exchange transfusion as a promising treatment of aluminium phosphide poisoning
Nasim Zamani
orcid.org/0000-0002-2091-0197
; Department of Clinical Toxicology1, Social Determinants of Health Research Center2, Loghman-Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Hossein Hassanian-Moghaddam
orcid.org/0000-0003-4370-0544
; Department of Clinical Toxicology1, Social Determinants of Health Research Center2, Loghman-Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Sakine Ebrahimi
; Department of Internal Medicine, Loghman-Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract
A 37-year-old male was referred to us about one hour after deliberate ingestion of two 3-gram aluminium phosphide (ALP) tablets. Three hours after admission, his blood pressure dropped to 85/55 mmHg, his heart rate increased to 120 bpm, O2 saturation dropped to 82 %, and the electrocardiogram showed junctional rhythm. We started whole blood exchange, and gross haematuria and jaundice ensued. However, his blood pressure increased, arrhythmia resolved itself, and he was extubated two days after the transfusion was completed. He was sent home seven days after admission completely symptom-free. We believe this treatment may be successfully applied in ALP-poisoned patients.
Keywords
arrhythmia; blood pressure; haematuria, icterus; junctional rhythm; extracorporeal techniques; toxicity
Hrčak ID:
206042
URI
Publication date:
25.9.2018.
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