title: Spontaneous ignition due to intentional acute aluminum phosphide poisoning.
abstract: BACKGROUND
  Acute aluminum phosphide (AlP) poisoning is one of the most common cause of acute pesticide poisoning in Iran. Spontaneous ignition is a rare finding in AlP poisoning.
  
  
  OBJECTIVE
  To present two cases of fatal AlP poisoning that involved spontaneous ignition.
  
  
  METHODS
  Two patients presented with suicidal ingestion of AlP tablets. In the Emergency Department (ED), they received gastric lavage. During insertion of a nasogastric tube, both patients experienced spontaneous ignition, and flames were witnessed by the medical personnel. Unfortunately, both patients died due to systemic effects of AlP poisoning.
  
  
  CONCLUSIONS
  Patients who present with acute aluminum phosphide poisoning may experience spontaneous ignition in the ED.
authors.affiliation: Loghman-Hakim Hospital Poison Center, Faculty of Medicine, Toxicological Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Shahin
authors.initials: S
authors.lastname: Shadnia
authors.forename: Kambiz
authors.initials: K
authors.lastname: Soltaninejad
mesh_terms: D000328:Adult; D017607:Aluminum Compounds / Q000506:poisoning*; D004636:Emergency Service, Hospital; D005260:Female; D005390:Fires; D006801:Humans; D007441:Intubation, Gastrointestinal; D008297:Male; D008875:Middle Aged; D010720:Phosphines / Q000506:poisoning*; D013405:Suicide; D055815:Young Adult
chemical_list: D017607:Aluminum Compounds; D010720:Phosphines; C001864:aluminum phosphide