TRUE about Aluminium phosphide poisoning is all, EXCEPT:
Aluminium phosphide is a solid fumigant pesticide, insecticide and rodenticide. Mild intoxication produce nausea, vomiting, headache and abdominal pain and the patient usually recover. In moderate and severe poisoning, systemic manifestations are early and progressive and mostly fatal. G.I.T: Nausea,vomiting,diarrhoea,retrosternal pain. C.V.S: Hypotension, shock, arrhythmias, myocarditis, pericarditis, acute congestive hea failure. R.S: Cough, dyspnoea, cyanosis, pulmonary edema, respiratory failure. Hepatic: Jaundice, hepatitis, hepatomegaly. Renal: Renal failure C.N.S: Headache, dizziness, altered mental state, restlessness, convulsions, acute hypoxic encephalopathy, coma. Cardiogenic shock is the most common cause of death. Ref: K.S.N.Reddy 29th Ed Page 473
Subendocardial infarction
Inhibits cytochrome A of respiratory chain
Causes esophageal stricture
Liberates phosphine gas