Spontaneous ignition due to intentional acute aluminum phosphide poisoning.
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.
Shadnia
Shahin
S
Loghman-Hakim Hospital Poison Center, Faculty of Medicine, Toxicological Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Soltaninejad
Kambiz
K
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
D017607:Aluminum Compounds; D010720:Phosphines; C001864:aluminum phosphide