Yellow Phosphorus Poisoning

Acute liver failure from yellow phosphorus poisoning is uncommon and has been rarely reported. Firecrackers or rodenticide pastes containing yellow phosphorus may be ingested accidentally or with suicidal intent. Acute poisoning can manifest with features of gastrointestinal tract, hepatic, cardiovascular, central nervous system and renal involvement, which can rapidly progress to multiorgan failure and death. The management is mainly supportive but liver transplantation has been done successfully to salvage the patients of acute liver failure. We report a case of suicidal ingestion of rat killer paste with acute liver failure who succumbed to poisoning.