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Fatal aluminium phosphide poisoning due to myocardial depression refractory to high dose inotropic support and intra-aortic balloon counterpulsation Chacko, J & Shivaprasad, C Abstract We report a case of aluminium phosphide poisioning that presented to us with refractory myocardial depression. This patient developed worsening circulatory failure that did not respond to inotropic or vasopressor support and intra-aortic balloon counterpulsation. She went on to develop progressive metabolic acidosis, renal failure and died within 48 hours of admission to the intensive care unit. Keywords Aluminium phospide, intraaortic balloon counterpulsation, myocardial depression

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