Rapid Death from Aluminum Phosphide Poisoning

Abstract
 Aluminum phosphite is a chemical used as an insecticide and pesticide to improve the storage conditions of agricultural products. Combined with humidity in air or after being taken orally tablet, it reacts acidic environment stomach turns into phosphine gas can cause poisoning. Suicidal use also common. When poisoning develops, deep metabolic acidosis, hypotensive shock, acute respiratory failure, multi-organ cardiac arrest death may occur. Resistant hypotension acidosis are most important indicators poor prognosis. In this case, 18 year old male patient was brought emergency room taking 3 tablets aluminum phosphide. The unconscious had shock. Despite gastric lavage, massive fluid replacement, positive inotropes, sodium bicarbonate, intravenous N acetyl cysteine loading, hemodialysis, died 6 hours admission department.