Comment on "Aluminum Phosphide Poisoning: a Case Series in North Iran"
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Abstract:
Dear Editor, I read with great interest the brief report entitled "Aluminum Phosphide Poisoning: A Case Series in North Iran" presented by Nosrati et al. and published recently in your journal (1). I have a question from authors and also a suggestion regarding aluminum phosphide (AlP) poisoning- related studies. I would like to ask authors how they validate the study results, since it is not clear in the methods section how the cases were diagnosed and / or what confirmation method was applied. Were the study outcomes relied on AlP-poisoned cases diagnosed with just a history of ingesting rice tablet or depended on valid evidence? As you know, in Iran, the term "rice tablet" is attributed to a) AlP tablet that is packaged in aluminum canisters b) a novel non-toxic herbal fumigant preparation named "garlic tablet" that is available in all drug stores nationwide and is packaged in plastic canisters (2). For a case with a history of rice tablet poisoning that the tablet(s) could not be found in the vicinity of the patient, the treatment strategy may be confounded, because the both situations are possible and so they may be treated interchangeably. In our experience, the cases with garlic tablet ingestion are frequently presented to emergency department with gastrointestinal disturbances and mild to moderate hypotensive episodes with resultant metabolic acidosis in some instances that may imitate AlP poisoning. It is suggested that in the studies related to AlP poisoning, clinicians confirm the poisoning with: a) silver nitrate impregnated paper test (3) or b) observation of the rice tablet (AlP or garlic) consumed by the patient or its package where the test is not available or feasible.
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Author Response to Comment on "Aluminum Phosphide Poisoning: A Case Series in North Iran"
Dear Editor; I wish to thank the authors for their careful comment (1), on our short report entitled “Aluminum Phosphide Poisoning: A Case Series in North Iran” (2). Unfortunately, as we were excited to display the findings of our series, some facts were missed from the methods of the article. The results presented in our series was collected from eight patients with definitive aluminum phosp...
full textAluminum Phosphide Poisoning: A Case Series in North Iran
Background: Aluminum phosphide (AlP) poisoning is one of the most life threatening emergencies. In this study, demographic characteristics, clinical profiles and outcomes of a series of patients presented with AlP poisoning in north Iran are described. Methods: The study was a retrospective descriptive medical chart review of AlP poisoned patients who were admitted to internal ward of Imam Khom...
full textaluminum phosphide poisoning: a case series in north iran
background: aluminum phosphide (alp) poisoning is one of the most life threatening emergencies. in this study, demographic characteristics, clinical profiles and outcomes of a series of patients presented with alp poisoning in north iran are described. methods: the study was a retrospective descriptive medical chart review of alp poisoned patients who were admitted to internal ward of imam khom...
full textAn interesting case of aluminum phosphide poisoning
Ingestion and inhalation of phosphine are 2 forms of toxicity and their clinical manifestation is extremely wide. A 22-year-old girl was admitted with complaints of nausea, vomiting and epigastric pain after eating lunch. She had a history of celiac disease. On arrival, she was alert and hemody...
full textA Case Report of Successful Treatment of Aluminum Phosphide Poisoning
Introduction: Aluminum phosphide is one of the most common causes of poisoning in the country. It liberates lethal phosphine gas when it comes in contact either with atmospheric moisture or with hydrochloric acid in the stomach. It mainly attacks the cardiovascular and respiratory systems. Eating even small amounts of this toxin can lead to death. This study reports a case of successful treatme...
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Journal title
volume 3 issue 1
pages 48- 48
publication date 2014-03-01
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