Successful Resuscitation Following Aluminum Phosphide (Celphos) Poisoning Complicated by Ventricular Tachycardia and Cardiogenic Shock: A Case Report

Abstract

Background: Aluminum Phosphide Poisoning is a highly lethal form of pesticide poisoning commonly seen in developing countries. It leads to severe metabolic toxicity, refractory shock, malignant arrhythmias, and high mortality. Survival following cardiac arrest is rare.

Case Presentation: We report a case of a 30-year-old male who presented with aluminum phosphide ingestion, severe hypotension, and altered sensorium. During hospitalization, the patient developed pulseless ventricular tachycardia requiring cardiopulmonary resuscitation and defibrillation. With aggressive intensive care management including ventilatory support, vasopressors, and supportive therapy, the patient survived and was discharged in stable condition.

Conclusion: Early aggressive resuscitation, timely defibrillation, and multidisciplinary critical care support can improve survival in severe aluminum phosphide poisoning complicated by cardiac arrest.