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Acute Pancreatitis, Hepatitis and Bone Erosion in Acute Yellow Phosphorous Compound Poisoning - A Rare Complication
Prabhakar Kamarthi1, Parimala Subramani2, Arun Vardharaju Gopu3
1Professor, Department of Medicine, Sri Devaraj Urs Academy of Higher Education and Research (SDUAHER) , Tamaka, Kolar, Karnataka, India .
Abstract:
We report a case of acute pancreatitis and hepatitis following ingestion of yellow phosphorous. The condition of the patient progressed to encephalopathy and bony erosion of the nasal septum. Fungal mass was observed in both the nasal cavities by endoscopy. Microbiological investigation revealed the identity of the fungus as Aspergillus flavus and Candida tropicalis. Patient improved with fluconazole treatment.
Insights
Yellow phosphorus ingestion caused acute pancreatitis, hepatitis, and nasal septum erosion. Fungal infections, Aspergillus flavus and Candida tropicalis, were identified and treated successfully with fluconazole.
Area of Science:
- Toxicology
- Mycology
- Gastroenterology
Background:
- Yellow phosphorus poisoning is a rare but severe condition.
- Acute pancreatitis and hepatitis are known complications of toxic ingestions.
- Nasal septum erosion can occur in severe systemic illnesses.
Observation:
- A patient presented with acute pancreatitis and hepatitis after ingesting yellow phosphorus.
- The patient developed encephalopathy and significant bony erosion of the nasal septum.
- Endoscopic examination revealed fungal masses in both nasal cavities.
Findings:
- Microbiological investigations identified Aspergillus flavus and Candida tropicalis as the causative fungi.
- The patient's clinical condition improved following treatment with fluconazole.
Implications:
- This case highlights the potential for severe systemic and local complications from yellow phosphorus ingestion.
- It underscores the importance of considering opportunistic fungal infections in immunocompromised or critically ill patients.
- Antifungal therapy can be effective in managing such secondary infections.
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