Cătălina Lionte *, L. Șorodoc *, Victorița Laba *
* Asist. Univ. Dr. Cătălina Lionte, medic primar medicină internă, medic specialist cardiologie; Conf. Dr. Laurențiu Șorodoc, medic primar medicină internă, medic specialist medicină de urgență; Prep. Univ. Dr. Victorița Laba, medic rezident medicină internă, medic specialist medicină de familie – Clinica Medicală, Spitalul Clinic de Urgențe, U.M.F. “Gr.T.Popa”, Iași
Abstract
Zinc phosphide is a rodenticide responsible for one of the most severe forms of acute poisoning. Toxic effects are secondary to production of phosphine gas. Signs and symptoms of toxicity consist of gastrointestinal and menthal status changes, dyspnea; immediate death results from pulmonary edema. Delayed toxic effects are cardiotoxicity, liver and kidney toxicity, death being secondary to cardiac complications. Treatment is symptomatic and supportive and mortality is high. We report a lethal case of accidental poisoning with zinc phosphide which determined ventricular arrhythmias and irreversible colaps.