RT Journal Article
SR Electronic
T1 Plasmapheresis in lethal yellow phosphorus poisoning: a scope for recovery
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e239676
DO 10.1136/bcr-2020-239676
VO 14
IS 4
A1 Jithin Mathew
A1 John Gnanaraj
A1 Abhishekh Basavarajegowda
A1 Ramanathan Venkateswaran
YR 2021
UL http://casereports.bmj.com/content/14/4/e239676.abstract
AB A 16-year-old girl presented with grade 3 hepatic encephalopathy (HE) following suicide attempt after consuming a lethal dose of yellow phosphorus containing rodenticide. Although she was a candidate for liver transplantation, it could not be done. In the absence of a specific antidote for yellow phosphorus poisoning, the patient was managed conservatively. In addition, low volume-therapeutic plasma exchange (LV-TPE) was initiated, which resulted in a dramatic improvement in HE. Although liver transplantation is the definitive treatment, this case has shown that TPE has a promising role as a ‘bridge to recovery’ in situations where transplantation is not feasible. We describe our experience with the above-mentioned case, along with the sequence of clinical recovery and the trend in biochemical parameters during follow-up. The patient made a full recovery and is doing well.