Author/Authors :
Jalil El Hangouche, Abdelkader Department of Cardiology B - Ibn Sina Hospital - Mohammed V University, Rabat, Morocco , Fennich, Hala Department of Cardiology B - Ibn Sina Hospital - Mohammed V University, Rabat, Morocco , Alaika, Oumaima Department of Cardiology B - Ibn Sina Hospital - Mohammed V University, Rabat, Morocco , Dakka, Taoufiq Laboratory of Physiology - Faculty of Medicine and Pharmacy of Rabat - Mohammed V University, Rabat, Morocco , Raissouni, Zaineb Department of Cardiology B - Ibn Sina Hospital - Mohammed V University, Rabat, Morocco , Oukerraj, Latifa Department of Cardiology B - Ibn Sina Hospital - Mohammed V University, Rabat, Morocco , Doghmi, Nawal Department of Cardiology B - Ibn Sina Hospital - Mohammed V University, Rabat, Morocco , Cherti, Mohamed Department of Cardiology B - Ibn Sina Hospital - Mohammed V University, Rabat, Morocco
Abstract :
Aluminium phosphide (ALP) is widely used as a fumigant pesticide. In case of ALP poisoning, it is responsible for myocardial dysfunction, related to toxic myocarditis, and hemodynamic disorders. We report a case of a 28-year-old female who had intentionally
ingested ALP and was admitted with cardiogenic shock.The transthoracic echocardiography (TTE) at the time of admission showed
severe global myocardial hypokinesia with the presence of a giant left ventricular thrombus. Cardiovascular magnetic resonance
(CMR) revealed extensive toxic myocarditis with a left ventricular systolic dysfunction. All cardiac lesions were reversible after
symptomatic treatment, within 6 months. We aim, by reporting this case, to evidence the complete reversibility of cardiac injury
due to aluminium phosphide poisoning documented by transthoracic echocardiography and cardiovascular magnetic resonance.
Keywords :
Reversible Myocardial Injury , Intraventricular Thrombus , Phosphide Poisoning , Aluminium
