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Fatal aluminium phosphide poisoning.

Mahesh Chand Meena1, Sachin Mittal1, Yashoda Rani1

  • 1Forensic Medicine and Toxicology, Lady Hardinge Medical College, New Delhi, India.

Interdisciplinary Toxicology
|August 4, 2016
PubMed
Summary

Aluminium phosphide (AlP) poisoning is a growing concern due to its misuse in suicides. Increased market availability of AlP necessitates stricter regulations to prevent further fatalities.

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Area of Science:

  • Toxicology
  • Agricultural Science

Background:

  • Aluminium phosphide (AlP) is a widely used, inexpensive fumigant for grain preservation.
  • Increased agricultural and non-agricultural use has led to a rise in AlP-related cases over four decades.
  • Easy market availability contributes to its misuse, particularly for suicide attempts.

Observation:

  • This report details a case of suicidal AlP consumption by a 32-year-old medical anesthetist.
  • Toxicological analysis confirmed the presence of aluminium phosphide.

Findings:

  • Aluminium phosphide poisoning inhibits cellular oxygen utilization and can cause lipid peroxidation.
  • Suicidal ingestion of AlP is more common in adults than adolescents.

Implications:

  • Stricter legal controls on the sale of AlP, such as celphos tablets, are recommended.
  • Prohibiting free access in grain markets could reduce intentional poisoning incidents.
Keywords:
aluminium phosphidephosphinepoisoningsuicide

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