Authors′ reply

Abstract

We reviewed the comments in the letter to editor and would like to thank the author for his interesting questions. The author's concern about the frequency of methemoglobinemia in acute aluminum phosphide (AlP) poisoning prompted us to search the Medline database using the terms "methemoglobinemia" and "aluminum phosphide and "poisoning" and found 4 papers in addition to our recent paper. [1][2][3][4] Of these publications, one was a study using rats and not in human, [1] 2 others were case reports, [2,3] and one was series of 48 human cases. [4] In the last paper, [4] in written by authors in our institution, most patients did not have an elevated MetHb, though there was an association between metHb concentration and death.