Year: 2025
Type: article
Study design: Case Report
Abstract: ABSTRACT Zinc phosphide (Zn 3 P 2 ) poisoning during pregnancy is exceedingly unusual and potentially lethal, with no previously known occurrences globally. We present a 26‐year‐old woman, gravida 2 para 1, at 29 weeks gestation, who took 15 g of Zn 3 P 2 in a suicidal attempt and experienced non‐projectile vomiting. Her vital signs were stable (BP 110/80 mmHg, GCS 15/15), but she experienced transitory hepatic dysfunction that improved on Day 4 with supportive therapy such as coconut oil gastric lavage, intravenous fluids, and pantoprazole. The fetal scan confirmed viability (heart rate of 158 bpm). The high mortality of Zn 3 P 2 (37%–100%) is caused by phosphine gas‐induced suppression of mitochondrial respiration. This case emphasizes the lack of a particular antidote and the significance of immediate decontamination, hepatic monitoring, and mental follow‐up following purposeful consumption.
Source: Clinical Case Reports
DOI: 10.1002/ccr3.71446
Authors: Nabin Pahari, Sushant Shrestha, Sagun Ghimire, Mukesh Pahari, Anmol Singh Shrestha, Sahas Chhetri, Mrinal Silwal
Institution: Devdaha Medical College & Research Institute
Language: English
Subfield: Emergency Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,820
OpenAlex ID: W4416143259