Zinc phosphide poisoning precipitating undiagnosed coronary artery disease: successfully managed
Zinc phosphide is a rodenticide which reacts with gastric acid and produces phosphine gas which produces systemic effects. We present the case of a 32-year-old patient with alleged history of zinc phosphide ingestion. After 15 h of ingestion, he was brought to us following initial supportive care ou...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2020-01-01
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| Series: | Apollo Medicine |
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| Online Access: | http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2020;volume=17;issue=1;spage=42;epage=43;aulast=Samui |
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| _version_ | 1850284001383677952 |
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| author | Krittibus Samui Dixit Kumar Thakur |
| author_facet | Krittibus Samui Dixit Kumar Thakur |
| author_sort | Krittibus Samui |
| collection | DOAJ |
| description | Zinc phosphide is a rodenticide which reacts with gastric acid and produces phosphine gas which produces systemic effects. We present the case of a 32-year-old patient with alleged history of zinc phosphide ingestion. After 15 h of ingestion, he was brought to us following initial supportive care outside. All routine investigations were done. Electrocardiogram showed antero–inferior wall acute myocardial infarction with right bundle branch block. The patient developed chest pain on the next day of admission. Coronary angiography revealed stenosis of the left anterior descending artery with clot. Percutaneous coronary angioplasty with stenting was done. He was discharged in a stable condition. Zinc phosphide poisoning precipitating acute coronary syndrome is a rare entity. Although patients may not present with initial chest pain, still they need intensive monitoring. |
| format | Article |
| id | doaj-art-5baf56844f6b4f2e97b43ee8e1c090f4 |
| institution | OA Journals |
| issn | 0976-0016 2213-3682 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Apollo Medicine |
| spelling | doaj-art-5baf56844f6b4f2e97b43ee8e1c090f42025-08-20T01:47:40ZengSAGE PublishingApollo Medicine0976-00162213-36822020-01-01171424310.4103/am.am_77_19Zinc phosphide poisoning precipitating undiagnosed coronary artery disease: successfully managedKrittibus SamuiDixit Kumar ThakurZinc phosphide is a rodenticide which reacts with gastric acid and produces phosphine gas which produces systemic effects. We present the case of a 32-year-old patient with alleged history of zinc phosphide ingestion. After 15 h of ingestion, he was brought to us following initial supportive care outside. All routine investigations were done. Electrocardiogram showed antero–inferior wall acute myocardial infarction with right bundle branch block. The patient developed chest pain on the next day of admission. Coronary angiography revealed stenosis of the left anterior descending artery with clot. Percutaneous coronary angioplasty with stenting was done. He was discharged in a stable condition. Zinc phosphide poisoning precipitating acute coronary syndrome is a rare entity. Although patients may not present with initial chest pain, still they need intensive monitoring.http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2020;volume=17;issue=1;spage=42;epage=43;aulast=Samuicoronary syndromephosphinezinc phosphide |
| spellingShingle | Krittibus Samui Dixit Kumar Thakur Zinc phosphide poisoning precipitating undiagnosed coronary artery disease: successfully managed Apollo Medicine coronary syndrome phosphine zinc phosphide |
| title | Zinc phosphide poisoning precipitating undiagnosed coronary artery disease: successfully managed |
| title_full | Zinc phosphide poisoning precipitating undiagnosed coronary artery disease: successfully managed |
| title_fullStr | Zinc phosphide poisoning precipitating undiagnosed coronary artery disease: successfully managed |
| title_full_unstemmed | Zinc phosphide poisoning precipitating undiagnosed coronary artery disease: successfully managed |
| title_short | Zinc phosphide poisoning precipitating undiagnosed coronary artery disease: successfully managed |
| title_sort | zinc phosphide poisoning precipitating undiagnosed coronary artery disease successfully managed |
| topic | coronary syndrome phosphine zinc phosphide |
| url | http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2020;volume=17;issue=1;spage=42;epage=43;aulast=Samui |
| work_keys_str_mv | AT krittibussamui zincphosphidepoisoningprecipitatingundiagnosedcoronaryarterydiseasesuccessfullymanaged AT dixitkumarthakur zincphosphidepoisoningprecipitatingundiagnosedcoronaryarterydiseasesuccessfullymanaged |