title: Unusual complication of aluminum phosphide poisoning: Development of hemolysis and methemoglobinemia and its successful treatment.
abstract: Methemoglobinemia and hemolysis are rare findings following phosphine poisoning. In this paper, a case of aluminum phosphide (AlP) poisoning complicated by methemoglobinemia and hemolysis with a successful treatment is reported. A 28-year-old male patient presented following intentional ingestion of an AlP tablet. In this case, hematuria, hemolysis and methemoglobinemia were significant events. A methemoglobin level of 46% was detected by CO-oximetry. The patient was treated with ascorbic acid and methylene blue and he also received supportive care. Two weeks after admission, the patient was discharged from the hospital. Hemolysis and methemoglobinemia may complicate the course of phosphine poisoning.
authors.affiliation: Department of Forensic Toxicology, Legal Medicine Research Center, Legal Medicine Organization of Iran, Iran.
authors.forename: Kambiz
authors.initials: K
authors.lastname: Soltaninejad
authors.forename: Leiws S
authors.initials: LS
authors.lastname: Nelson
authors.forename: Nastaran
authors.initials: N
authors.lastname: Khodakarim
authors.forename: Zohreh
authors.initials: Z
authors.lastname: Dadvar
authors.forename: Shahin
authors.initials: S
authors.lastname: Shadnia