| Unintentional fatal phosphine gas poisoning of a family. | |
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MedLine Citation:
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PMID: 21926889 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The objective of the study was to report the toxicity of phosphine gas after a residential fumigation that resulted in fatal poisoning of a 15-month-old toddler and her 4-year-old sibling. METHODS: This is a case report and a review of literature. RESULTS: A family of 6 members was exposed to phosphine gas after their yard was treated with aluminum phosphide for a rodent infestation. The inhalation of phosphine gas initially caused symptoms of abdominal distress in all of the family members. Within 36 hours of exposure, the 4-year-old sibling died of cardiopulmonary failure in a local emergency department. After an initial presentation of respiratory distress, the 15-month-old toddler progressed to complete cardiopulmonary collapse and did not survive despite aggressive intervention including extracorporeal membrane life support. CONCLUSIONS: Unintentional phosphine gas exposure is rare but has a toxic profile that results in a high fatality rate with no known antidote. |
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Authors:
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Tara J Lemoine; Kristin Schoolman; Geoffrey Jackman; Donald D Vernon |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Pediatric emergency care Volume: 27 ISSN: 1535-1815 ISO Abbreviation: Pediatr Emerg Care Publication Date: 2011 Sep |
Date Detail:
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Created Date: 2011-09-19 Completed Date: 2012-01-17 Revised Date: 2012-02-08 |
Medline Journal Info:
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Nlm Unique ID: 8507560 Medline TA: Pediatr Emerg Care Country: United States |
Other Details:
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Languages: eng Pagination: 869-71 Citation Subset: IM |
Affiliation:
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Division of Pediatric Critical Care Medicine, Department of Pediatrics, University of Utah, Salt Lake City, UT, USA. Don.vernon@hsc.utah.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Accidents, Home* Adult Aluminum Compounds / poisoning* Child Child, Preschool Diagnostic Errors* Diarrhea / chemically induced Emergencies Fatal Outcome Female Foodborne Diseases / diagnosis Gases Heart Arrest / chemically induced*, therapy Humans Infant Male Nausea / chemically induced Phosphines / poisoning* Rodenticides / poisoning* Vomiting / chemically induced |
| Chemical | |
Reg. No./Substance:
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0/Aluminum Compounds; 0/Gases; 0/Phosphines; 0/Rodenticides; 20859-73-8/aluminum phosphide |
| Comments/Corrections | |
Comment In:
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Pediatr Emerg Care. 2012 Jan;28(1):98
[PMID:
22217899
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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