Acute Fulminant Liver Failure Secondary to Yellow Phosphorus Poisoning: Role of Extended N-acetylcysteine Therapy

Abstract

Yellow phosphorus is widely used in agricultural applications as well as a rodenticide. Poisoning from unintentional consumption and suicidal intent is common in the Indian subcontinent. Acute fulminant liver failure caused by yellow phosphorus intoxication is fatal. Treatment options include early intervention with supportive care, N-acetylcysteine (NAC), plasmapheresis, and liver transplantation. We used an extended NAC therapy, which resulted in a favorable outcome for our patient.