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Hypoglycaemia following zinc phosphide poisoning
R K Patial1, S K Bansal, S Kashyap
1Department of Medicine, IG Medical College, Shimia.
The Journal of the Association of Physicians of India
|April 1, 1990
Summary
Severe hypoglycemia and toxic myocarditis occurred in two patients after zinc phosphide poisoning. This highlights the critical cardiac and metabolic complications associated with this rodenticide.
Area of Science:
- Toxicology
- Cardiology
- Emergency Medicine
Background:
- Zinc phosphide is a widely used rodenticide.
- Poisoning can lead to severe metabolic and cardiac complications.
- Understanding these complications is crucial for effective treatment.
Observation:
- Two cases of severe hypoglycemia following zinc phosphide ingestion were observed.
- Both patients presented with critical illness.
- The patients ultimately succumbed to their condition.
Findings:
- Zinc phosphide poisoning can induce severe hypoglycemia.
- Toxic myocarditis was the cause of death in both reported cases.
- This suggests a direct cardiotoxic effect of zinc phosphide or its metabolites.
Implications:
- Early recognition and management of hypoglycemia are vital in zinc phosphide poisoning.
- Cardiac monitoring is essential for patients with zinc phosphide poisoning.
- This case series underscores the high mortality associated with severe zinc phosphide poisoning.