Rare Survival in a Case of Aluminium Phosphide Poisoning

Aluminium Phospide (ALP) is a cheap, commonly used rodenticide and pesticide in India, which is available easily by various names like Celphos. Unfortunately, its high toxicity and unavailability of specific antidote results in very high mortality after ingestion. Treatment is largely supportive, which includes gastric lavage, correction of acidosis, inotropes and ventilator support. The outcome is poor, largely due to delays in appropriate aggressive management and doubtfulness in the minds of clinicians regarding results in aluminium phosphide poisoning patients. We present here a case of aluminium phosphide poisoning who survived even after ingesting a toxic dose of Celphos tablet because of apt aggressive management at the appropriate time.