Case of Celphos Poisoning with Retained Guide wire Posted for Emergency OT for Guide Wire Removal

Title: Case of Celphos Poisoning with Retained Guide wire Posted for Emergency OT for Guide Wire Removal

Authors: Dr Latesh Saphiya, Dr Nandini Sharma, Dr Maninder Singh Raizada

DOI: https://dx.doi.org/10.18535/jmscr/v10i7.09

Abstract

Aluminium phosphide (ALP) is a commonly available pesticide in agricultural countries. It is a highly effective outdoor and indoor insecticide and rodenticide. Upon ingestion, this releases highly toxic phosphine gas in the gastrointestinal tract when it comes in contact with humidity.¹ ALP inhibits cytochrome oxidase, interferes with cellular respiration and induces severe oxidative stress. This leads to refractory shock, metabolic acidosis, arrhythmia, renal and hepatic failure. There is no antidote available and the treatment is mainly supportive.²

Keywords: Celphos poisoning, retained guidewire, Pneumothorax, clavicle segment removed.

References

N. Khosla, R. Handa, P. Khosla. Aluminium phosphide poisoning. Trop. Doct., 22(4) (1992),pp. 155-157.
Pangeni, R.K. Kc. Successfully managed case of Celphos poisoing: a case report and review. J Nepal Health Res Counc, 12(28) (2014), pp 200-202.
Choudhary A, Agarwal A, Dhiraaj S. An unusual case of guidewire impaction during internal jugular venous cannulation. Anesth Analg 2005;100:1217-8.

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