Journal of Forensic Medicine and Toxicology
SCOPUS
  • Year: 2019
  • Volume: 36
  • Issue: 2

Profile ofpatients with rodenticide poisoning and pictorial confirmation of rodenticideas quick means of identification: A study inatertiary level Hospital

  • Author:
  • Mousumi Sen1,, B. Vijayalekshmi2, Anand Sharma3, Uday George Zachariah4, C.E Eapen5, Z. Anand6, R Ravikar7, KPP Abhilash8, Sivanandan9, S Jagadesha10, Biswajit Paul10
  • Total Page Count: 6
  • Page Number: 30 to 35

1Associate Professor, Department of Forensic Medicine, Christian Medical College, Vellore, Tamil Nadu, India

2Assistant Professor, Wellcome Trust Research Laboratory Division of GI Sciences, Christian Medical College, Vellore, Tamil Nadu, India

3Assistant Professor, Department of Community Medicine, Christian Medical College, Vellore, Tamil Nadu, India

4Professor, Department of Community Medicine, Christian Medical College, Vellore, Tamil Nadu, India

5Professor, Department of Hepatology, Christian Medical College, Vellore, Tamil Nadu, India

6Professor, Department of Community Medicine, Christian Medical College, Vellore, Tamil Nadu, India

7Associate Professor, Department of Medicine, Christian Medical College, Vellore, Tamil Nadu, India

8Professor, Department of Community Medicine, Christian Medical College, Vellore, Tamil Nadu, India

9Senior Resident, Department of Community Medicine, Christian Medical College, Vellore, Tamil Nadu, India

10Fellowship Trainee, Department of Emergency Medicine RUHSA, Christian Medical College, Vellore, Tamil Nadu, India

*Corresponding Author Mousumi Sen, Department of Forensic Medicine, ASHA Building, 2nd Floor, Christian Medical College, Vellore, 632004, Email: dr_mousumisen@yahoo.com

Online published on 4 September, 2020.

Abstract

Rodent control is important for survival and health of human populations and use of chemical rodenticides is one of the common methods of control. Yellow phosphorus is a highly toxic compound which is used as rodenticide and in firecrackers. This is a prospective observational study conducted on patients admitted to a tertiary care hospital with suspected rodenticide poisoning. The most common age group was 15–30 years with a male preponderance. The most common type of rodenticide consumed was found to be yellow phosphorus. In about three-quarters (72%) of the patients, the rodenticide was procured from grocery stores. In 32.4% of cases domestic fight was the reason for consuming the rodenticide. The median time between ingestion and admission to the referral hospital was 15.5 hours, (25–75 percentiles, 5–85 hours) and the mean duration of hospital stay was 8±5.5 days. The most common presenting symptom was vomiting (42, 61.76%) followed by abdominal pain (31, 45.59%). According to the present study, mortality rate is 10.3% (7 cases) overall with most of the deaths (6 cases) caused by yellow phosphorus poisoning. All the patients who were subjected to picture identification were able to correctly identify the rodenticide. Picture identification of the rodenticide provides an edge in early diagnosis and treatment.

Keywords

Rodenticide, Poisoning, Yellow phosphorus, Mortality, Picture identification