Liver transplantation for fulminant hepatic failure in yellow phosphorus poisoning

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dc.contributor.authorRavikanti, Karthiken_US
dc.contributor.authorYadav, Kiranen_US
dc.contributor.authorRangappa, Pradeepen_US
dc.contributor.authorJacob, Ipeen_US
dc.contributor.authorRao, Karthiken_US
dc.contributor.authorLochan, Rajiven_US
dc.date.accessioned2023-08-09T06:15:46Z
dc.date.available2023-08-09T06:15:46Z
dc.date.issued2022-08
dc.description.abstractYellow phosphorus (YP) containing rodenticides is a readily available poison that may be accidentally or deliberately ingested, leading to symptoms ranging from simple gastrointestinal symptoms to fulminant hepatic failure, depending on the amount ingested. As there is no specific antidote, the treatment requires early gastric lavage and institution of supportive measures such as acetyl cysteine infusion and Vitamin K. Progression to fulminant hepatic failure is characterized by rapid deterioration of liver function tests, worsening coagulopathy, and sensorium. The only definitive treatment at this stage is a liver transplant and therapeutic plasma exchange (TPE) can serve as a bridge therapy until a compatible liver donor is found. We present a case of YP-containing rodenticide poisoning, in which the patient progressed to fulminant hepatic failure despite aggressive supportive therapy and was successfully managed with TPE until liver transplantation.en_US
dc.identifier.affiliationsDNB Critical Care Traineeen_US
dc.identifier.affiliationsIDCCM Traineeen_US
dc.identifier.affiliationsICU Consultanten_US
dc.identifier.affiliationsICU Registraren_US
dc.identifier.affiliationsHPB and Liver Transplant Surgeon, Department of Critical Care, Manipal Hospital, Yeshwantpur, Bengaluru, Karanataka, Indiaen_US
dc.identifier.citationRavikanti Karthik, Yadav Kiran, Rangappa Pradeep, Jacob Ipe, Rao Karthik, Lochan Rajiv. Liver transplantation for fulminant hepatic failure in yellow phosphorus poisoning. Indian Journal of Case Reports. 2022 Aug; 8(8): 243-245en_US
dc.identifier.issn2454-1303
dc.identifier.issn2454-129X
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/222216
dc.languageenen_US
dc.publisherMansa STM Publishersen_US
dc.relation.issuenumber8en_US
dc.relation.volume8en_US
dc.source.urihttps://doi.org/10.32677/ijcr.v8i8.3502en_US
dc.subjectAcute liver failureen_US
dc.subjectPlasmapheresisen_US
dc.subjectRodenticide poisoningen_US
dc.subjectYellow phosphorusen_US
dc.titleLiver transplantation for fulminant hepatic failure in yellow phosphorus poisoningen_US
dc.typeJournal Articleen_US
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