DOI: 10.36347/sjmcr.2021.v09i05.001

Pages: 474-475

Background: Aluminum phosphide is a poison, use as a fumigant to protect stored grain from pests and rodents. It is marketed in Morocco as 3 g tablets under PHOSTOXIN® brand names. Once ingested, it is acutely toxic with a high mortality. When aluminium phosphide comes in contact with water, it releases large quantities of phosphine (PH3), a very toxic gas and a mitochondrial poison and cause cardiac damage hemodynamic disorders. We report a case of aluminum phosphide associated with reversible myocardial injury. Cases Reports: A 16-year-old woman admitted to hospital following ingestion of aluminum phosphide with the aim of a suicide. The clinical course was characterized by the development of a shock syndrome requiring the use of vasoactive amines drugs et liver dysfunction. The electrocardiogram showed a diffuse ST-depression and repolarization anomaly. The plasma concentrations of cardiac enzymes were elevated and Tran’s thoracic ultrasound showed a global hypokinesis and a severe left ventricular dysfunction. After 9 days of intensive care, the heart function was restored as well as its hemodynamic state and liver function. Conclusion: The severity of the poisoning is judged by the cardiac failure and the unavailability of an antidote. Myocardial injury following AlP is responsible for significant mortality. Reversible myocardial injury following aluminum phosphide poisoning can be seen in some rare cases.