Aluminum phosphide poisoning with Brugada ECG: a case report highlighting diagnostic challenges arising from patient nondisclosure

Abstract

Abstract Background Aluminum phosphide (AlP) poisoning is a major cause of mortality, often presenting with non-specific symptoms that complicate diagnosis. Case A 19-year-old male presented with vomiting, abdominal pain, hypotension, and ECG abnormalities. He initially denied ingestion, delaying treatment. Despite supportive care, he progressed to cardiac arrest and death. Conclusion This case illustrates the diagnostic challenges of AlP poisoning and underscores the need for early suspicion and intervention to improve patient outcomes.

Keywords

• Aluminum phosphide
• Poisoning
• Cardiotoxicity
• Delayed diagnosis
• ECG changes
• Cardiac arrest