BMJ Case Reports 2012; doi:10.1136/bcr.11.2011.5233
  • Rare disease

Acute accidental phosgene poisoning

  1. Suchi Consul
  1. Department of Internal Medicine, CSM Medical University, Lucknow, Uttar Pradesh, India
  1. Correspondence to Dr Avinash Agrawal, icuexpert{at}


Phosgene is a highly toxic gas to which accidental exposure may occur in occupational workers. This case report describes the clinical presentation and management of accidental phosgene poisoning happened after the leakage of phosgene gas from nearby pipeline. The need to suspect phosgene gas exposure and observe such patients is crucial for life saving, especially in view of the delay in clinical deterioration observed in some patients who subsequently develop adult respiratory distress syndrome.


  • Competing interests None.

  • Patient consent Obtained.

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