Severe Hypoglycemia Following Acute Aluminum Phosphide (Rice Tablet) Poisoning; A Case Report and Review of the Literature

  • Omid Mehrpour Department of Clinical Toxicology and Forensic Medicine, Birjand University of Medical Sciences, Birjand, Iran.
  • Abbas Aghabiklooei Mail Department of Forensic Medicine & Toxicology, Tehran University of Medical Sciences, Tehran, Iran.
  • Mohammad Abdollahi Department of Pharmacology & Toxicology, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran.
  • Surjit Singh Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Aluminum phosphide, Rice tablet, Blood glucose levelphosphide, Aluminum phosphide Rice tablet, Poisoning, Hypoglycemia, Blood glucose level


Aluminum phosphide (AlP) as 3 g tablet is widely used in Iran to protect stored food grains from pests. Hyperglycemia following its ingestion has been already reported in the recent years but severe hypoglycemia is uncommon. Here, we report a 19 year old male who attempted suicide with one tablet of AlP and demonstrated severe hypoglycemia. Despite restoration of blood glucose concentration to normal, he failed to respond to supportive treatment and died. The possible mechanisms leading to severe hypoglycemia are discussed. Though severe hypoglycemia is rare following AlP poisoning, physicians managing such patients should be aware of it.


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How to Cite
Mehrpour O, Aghabiklooei A, Abdollahi M, Singh S. Severe Hypoglycemia Following Acute Aluminum Phosphide (Rice Tablet) Poisoning; A Case Report and Review of the Literature. Acta Med Iran. 50(8):568-571.