Mumbai docs save teen after severe poisoning from home pesticide treatment

In a remarkable medical feat a Mumbai Centralbased hospital has successfully treated a rare and critical case of aluminium phosphide poisoning which has an almost 100 per cent fatality rateA 16yearold boy Siddharth along with his parents were exposed to toxic fumes after home pesticide treatment Due to severe inhalation Siddharths condition deteriorated rapidly leading to multiorgan failureHowever with the prompt intervention of a multidisciplinary medical team at Wockhardt Hospital Mumbai Central he was stabilised using advanced life support systemsThe Jain family unknowingly inhaled Aluminium Phosphide fumes the morning after pest control was conducted in their home Siddharth who had been unwell for a few days before exposure suffered the most The boys heartrsquos pumping capacity dropped to a critical 510 per cent and his blood pressure was not recordableExcessive acid buildup in his body further worsened his condition while his kidneys lungs and liver also started failingRecognising the urgency the medical team at the hospital swiftly put Siddharth on ECMO Extracorporeal Membrane Oxygenation and IABP IntraAortic Balloon Pumpmdashadvanced life support systems that aid the heart and lungs The boys kidneys failed requiring CRRT Continuous Renal Replacement Therapy a specialised dialysis treatmentAfter 15 days of continuous life support Siddharthrsquos heart started recovering and doctors were able to gradually wean him off ECMO and IABP The lungs and liver have fully healed and his kidneys are recovering without the need for further dialysisThe patients father also suffered severe cardiac complications with his heartrsquos pumping capacity dropping to 20 per cent However with timely intervention he stabilised and was discharged after 67 days with his heart function now normal The boys mother experienced only mild symptoms with minimal heart involvementDr Yogesh Jain consultant physician at the hospital highlighted the need for public awareness People must be educated about the risks associated with home pesticide treatments Poisoning from Aluminium Phosphide can be fatal and quick access to advanced medical care can be the difference between life and deathrdquoDr Charudatt Vaity director ndash critical care at the hospital emphasised the severity of the case stating Aluminium Phosphide poisoning is extremely fatal and survival is rare The patient was in cardiogenic shock with multiorgan failure but with rapid ECMO and IABP support along with a dedicated critical care approach we were able to pull him through This case highlights the significance of quick medical intervention and multidisciplinary teamworkDr Nikesh Jain consultant interventional cardiologist at the hospital said Siddharth was in a lifethreatening cardiac condition with his heartrsquos pumping at just 510 per cent We implemented ECMO and IABP support at the right time which played a crucial role in his survival His recovery has been nothing short of extraordinaryPart of the same team Dr Chandan Chaudhari consultant nephrologist shared insights on kidney involvement The patientrsquos kidneys had completely shut down requiring CRRT a highly specialised form of dialysis Over time with aggressive treatment and support his kidneys have started recovering with good urine output without need of diuretics and not required dialysis for more than one weekName changed