Aluminum phosphide fatalities, new local experience

被引:25
作者
Abder-Rahman, HA [1 ]
Battah, AH [1 ]
Ibraheem, YM [1 ]
Shomaf, MS [1 ]
El-Batainch, N [1 ]
机构
[1] Univ Jordan, Fac Med, Amman 11942, Jordan
关键词
D O I
10.1177/002580240004000214
中图分类号
D9 [法律]; DF [法律];
学科分类号
0301 ;
摘要
Aluminum phosphide (AlP) pesticide is a highly toxic, low cost, and easily accessible rodenticidal agent. Its toxicity results from the liberation of phosphine gas upon exposure to moisture, which leads to multisystem involvement, resulting in serious consequences. The highly toxic parathion insecticide was a common cause of mortality in pesticide fatalities, prior to its banning. Its toxicity was familiar to the public as well as to physicians. Recently, ten fatalities due to AlP were encountered within a three-month period during spring, when it was used as a rodenticide in the vicinity of grain stores. The victims' ages ranged from 1-34 years. The circumstances of death were accidental in six cases, suicidal in two and possibly homicidal in two cases. Retrospectively, the clinical manifestations, scene investigation, autopsy, histological and toxicological findings supported the diagnosis of AlP intoxication. Immediate recognition was difficult due to unfamiliarity of the agent to the physicians. The occurrence of these fatalities might suggest changes of pattern in pesticide poisoning. This should raise the attention of the physician to the problem of AIP poisoning and also necessitates the awareness of the public to the hazards of this poison. Education, proper handling, strict observation and abiding by the regulations controlling this material are good protective measures against AIP poisoning.
引用
收藏
页码:164 / 168
页数:5
相关论文
共 27 条
[1]  
Abder-Rahman H, 1999, VET HUM TOXICOL, V41, P31
[2]   PESTICIDE MORTALITY - A JORDANIAN EXPERIENCE [J].
ALRAGHEB, SYA ;
SALHAB, AS .
AMERICAN JOURNAL OF FORENSIC MEDICINE AND PATHOLOGY, 1989, 10 (03) :221-225
[3]   THE INTERACTION OF PHOSPHINE WITH HEMOGLOBIN AND ERYTHROCYTES [J].
CHIN, KL ;
MAI, X ;
MEAKLIM, J ;
SCOLLARY, GR ;
LEAVER, DD .
XENOBIOTICA, 1992, 22 (05) :599-607
[4]   ALUMINUM PHOSPHIDE POISONING - A PROSPECTIVE-STUDY OF 16 CASES IN ONE YEAR [J].
CHOPRA, JS ;
KALRA, OP ;
MALIK, VS ;
SHARMA, R ;
CHANDNA, A .
POSTGRADUATE MEDICAL JOURNAL, 1986, 62 (734) :1113-1115
[5]  
Chugh S N, 1989, J Assoc Physicians India, V37, P271
[6]  
Chugh S N, 1993, J Assoc Physicians India, V41, P569
[7]  
Chugh S N, 1991, J Indian Med Assoc, V89, P32
[8]  
CHUGH S N, 1989, Indian Journal of Medical Research Section B, V90, P289
[9]  
CHUGH SN, 1991, INDIAN J MED RES-B, V94, P232
[10]  
CHUGH SN, 1991, INDIAN J MED RES-B, V94, P437