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.
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.
Rodenticide, Poisoning, Yellow phosphorus, Mortality, Picture identification