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Case Reports in Critical Care
Volume 2014, Article ID 589712, 3 pages
http://dx.doi.org/10.1155/2014/589712
Case Report

Zinc Phosphide Poisoning

Department of Anesthesiology and Reanimation, Dicle University Medical School, 21280 Diyarbakir, Turkey

Received 15 April 2014; Revised 17 June 2014; Accepted 18 June 2014; Published 30 June 2014

Academic Editor: Moritoki Egi

Copyright © 2014 Erdal Doğan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Zinc phosphide has been used widely as a rodenticide. Upon ingestion, it gets converted to phosphine gas in the body, which is subsequently absorbed into the bloodstream through the stomach and the intestines and gets captured by the liver and the lungs. Phosphine gas produces various metabolic and nonmetabolic toxic effects. Clinical symptoms are circulatory collapse, hypotension, shock symptoms, myocarditis, pericarditis, acute pulmonary edema, and congestive heart failure. In this case presentation, we aim to present the intensive care process and treatment resistance of a patient who ingested zinc phosphide for suicide purposes.