Esophagobronchial fistula - A rare complication of aluminum phosphide poisoning

Bhargava, Satish; Rastogi, Rajul; Agarwal, Ajay; Jindal, Gaurav

doi:10.4103/1817-1737.74276

Cited by 8 publications

(4 citation statements)

References 2 publications

(3 reference statements)

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“…Poorer prognosis is associated with higher phosphine levels, no vomiting after ingestion, hyperglycaemia, hyperkalaemia, hyponatraemia, hypernatraemia, hyperuricaemia, acidosis, leukocytosis, haemoconcentration, low prothrombin time, shock, methaemoglobinaemia, abnormal ECG, need for inotropes, need for mechanical ventilation, high Simplified Acute Physiology Score (SAPS) and Acute Physiology and Chronic Health Evaluation II (APACHE II), and low Glasgow coma scale (4,8,25,26,60,(86)(87)(88)(89). The higher the phosphine blood level, the higher is the risk of death.…”

Section: Prognosis and Long-term Complicationsmentioning

confidence: 99%

A review of aluminium phosphide poisoning and a flowchart to treat it

Hashemi-Domeneh

Zamani

Hassanian‐Moghaddam

et al. 2016

Archives of Industrial Hygiene and Toxicology

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The use of pesticides such as aluminium phosphide (AlP) has increased in the recent years and improved the quantity and quality of agricultural products in a number of developing countries. The downside is that AlP causes severe chronic and acute health effects that have reached major proportions in countries such as India, Iran, Bangladesh, and Jordan. Nearly 300,000 people die due to pesticide poisoning in the world every year. Poisoning with AlP accounts for many of these deaths. Unfortunately, at the same time, there is no standard treatment for it. The aim of this article is to give a brief review of AlP poisoning and propose a treatment flowchart based on the knowledge gained so far. For this purpose we reviewed all articles on the management of AlP poisoning published from 2000 till now. Using a modified Delphi design, we have designed a handy flowchart that could be used as a guide for AlP poisoning management of patients in emergency centres.

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Section: Prognosis and Long-term Complicationsmentioning

confidence: 99%

A review of aluminium phosphide poisoning and a flowchart to treat it

Hashemi-Domeneh

Zamani

Hassanian‐Moghaddam

et al. 2016

Archives of Industrial Hygiene and Toxicology

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“…Phosphine imposes its toxicity with inhibition of cytochrome oxidase that leads to metabolic disturbances and internal organ damages. [ 1 ] Methaemoglobinemia and haemolysis,[ 8 ] acute pancreatitis,[ 9 ] oesophagobronchial fistula[ 10 ] and polyserositis[ 11 ] are regarded as uncommon complications of ALP poisoning. Internal ignition and thermal injury following ALP poisoning is another interesting and unusual complication that may complicate the patient's condition and may be a hazard to the medical personnel.…”

Section: Discussionmentioning

confidence: 99%

Hot charcoal vomitus in aluminum phosphide poisoning - A case report of internal thermal reaction in aluminum phosphide poisoning and review of literature

Mirakbari¹

2015

Indian J Anaesth

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Aluminium phosphide (ALP) poisoning is a commonly encountered poisoning in emergency departments in most developing countries. Many papers have revealed metabolic derangements in this poisoning and also examined contributing factors leading to death, but only few have reported physical damage. Some case reports have described a complication that has been frequently termed ‘ignition’. The exact mechanism of this phenomenon has not been fully elucidated. An exothermic reaction during therapeutic administration of chemicals may contribute to this problem, but the incidence has occurred in the absence of treatment or drug administration. Here, we report a 34-year-old woman with ALP poisoning who presented with hot charcoal vomitus, a sign of internal thermal event, leading to the thermal burning of the patient's face and internal damage resulting in death. We reviewed all reported cases with similar complication to demonstrate varied characteristics of patients and to propose the possible mechanisms leading to this event.

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“…[8] Over the years, iatrogenic trauma has become a commoner cause for such fistulae compared to infections. [9] Tuberculosis as a cause for these fistulae has been infrequently reported in the western literature.…”

Section: Discussionmentioning

confidence: 99%

Esophagobronchial fistulae: Diagnosis by MDCT with oral contrast swallow examination of a benign and a malignant cause

Hegde

Kalekar

Gajbhiye

et al. 2013

Indian J Radiol Imaging

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We report two cases of esophagobronchial fistulae diagnosed by Multi-detector computed tomography (MDCT) oral contrast swallow examination. It is helpful to supplement the CT study with an oral contrast swallow as it aids in confirmation of a suspected fistula and also demonstrates the fistula tract better. We present the clinical details and the imaging findings on MDCT of two cases of esophagobronchial fistulae – one secondary to chronic chest tuberculosis and the other secondary to a squamous cell carcinoma of the upper esophagus – followed by discussion of the etiology, pathogenesis, and imaging of these fistulae.

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Esophagobronchial fistula - A rare complication of aluminum phosphide poisoning

Cited by 8 publications

References 2 publications

A review of aluminium phosphide poisoning and a flowchart to treat it

A review of aluminium phosphide poisoning and a flowchart to treat it

Hot charcoal vomitus in aluminum phosphide poisoning - A case report of internal thermal reaction in aluminum phosphide poisoning and review of literature

Esophagobronchial fistulae: Diagnosis by MDCT with oral contrast swallow examination of a benign and a malignant cause

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