Right ventricular thrombus in a child with aluminum phosphide poisoning: A case report and review of the literature

Aluminum phosphide (ALP) is a highly toxic inorganic compound used as a rodenticide, insecticide, and fumigant for stored cereal grains. Sometimes it uses for suicidal or criminal purposes, due to the low cost and availability of this tablet.Cardiovascular involvement is common and is the leading cause of death in these patients, but intra-cardiac thrombosis is rare and more common in the left ventricle following left ventricular dysfunction. The aim of our work was to describe an atypical manifestation of cardiovascular involvement of ALP poisoning.

We report a case of an ALP-poisoned child, with the uncommon complications of mobile right ventricular thrombus who has been treated successfully with systemic thrombolysis. An eleven year- old boy who referred to us with unstable hemodynamic status after suicidal ingestion of 3 grams ALP tablet. To the best of our knowledge, he is the first case of right ventricular thrombosis in the setting of ALP poisoning in the English literature.

In this ALP-poisoned child case, systemic thrombolysis along with conservative management could save the child from a non-reported complication of ALP.