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Year : 2020  |  Volume : 7  |  Issue : 4  |  Page : 198-201

A true killer among us: A case series of yellow phosphorus poisoning in children at a tertiary care center in South India

Department of Pediatrics, Mazumdar Shaw Medical Centre, Paediatric Intensive Care Unit, Narayana Hrudayalaya, Bengaluru, Karnataka, India

Correspondence Address:
Dr. Hiremath Sagar
Department of Pediatrics, Mauzumdar Shaw Medical Centre, Narayana Hrudayalaya, Bengaluru, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/JPCC.JPCC_31_20

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Rodenticides constitute 7%–11% of total poisonings in children. The rodenticide commonly available in South India is a paste made of yellow phosphorus, which causes a spectrum of clinical manifestations from gastrointestinal irritation to multiorgan dysfunction for which there is no antidote or specific treatment. There are scanty reports of this poisoning in children worldwide. Hence, we did a retrospective chart review of eight patients admitted in our unit from July 2017 to January 2019, and the demographic data, mode of poisoning, clinical manifestations, treatment modalities, and outcome of poisoning were collected from the hospital records and documented in the prestructured pro forma and analyzed. Majority of our patients were adolescent males, who had ingested the poison as an act of deliberate self-harm. The most common feature seen was acute liver failure. Clinical outcomes were better in those who received plasmapheresis for acute liver failure. However, this requires further studies for a proven benefit.

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