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Wheat pill poisoning: complications and management
Hassan Ur Rehman1, Valeed Bin Mansoor1, Fibhaa Syed2
1Department of Internal Medicine, Pakistan Institute of Medical Sciences (PIMS), Islamabad, Pakistan.
JPMA. the Journal of the Pakistan Medical Association
|June 10, 2021
Summary
Aluminium phosphide (wheat pill) poisoning is a growing concern in Pakistan with high mortality. Prompt intensive care and management of complications can lead to patient recovery, highlighting the need for awareness.
Area of Science:
- Toxicology
- Emergency Medicine
- Public Health
Background:
- Aluminium phosphide (wheat pill) is a rodenticide increasingly used for self-harm in Pakistan.
- Ingestion of aluminium phosphide has a high mortality rate and no specific antidote.
- Easy accessibility contributes to the rise in poisoning cases.
Observation:
- A young female presented with symptoms of aluminium phosphide poisoning.
- She developed severe complications including cardiac arrhythmias, shock, haematuria, pleural effusion, and hyperglycemia.
- The patient's condition was critical, requiring intensive care management.
Findings:
- Despite the severity, the patient recuperated due to timely recognition and management of complications.
- Effective treatment involved appropriate transfer to the Intensive Care Unit and prompt intervention for critical issues.
- Successful management demonstrates that recovery is possible even in severe cases.
Implications:
- Highlights the critical role of Intensive Care Units in managing severe poisoning cases.
- Underscores the need for public awareness campaigns on the dangers of aluminium phosphide.
- Recommends proper disposal strategies to reduce accidental and intentional exposures.
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