Aluminum phosphide poisoning with Brugada ECG: a case report highlighting diagnostic challenges arising from patient nondisclosure

Abstract

BACKGROUND: Aluminum phosphide (AlP) poisoning is a major cause of mortality, often presenting with non-specific symptoms that complicate diagnosis. CASE: A 19-year-old male presented with vomiting, abdominal pain, hypotension, and ECG abnormalities. He initially denied ingestion, delaying treatment. Despite supportive care, he progressed to cardiac arrest and death. CONCLUSION: This case illustrates the diagnostic challenges of AlP poisoning and underscores the need for early suspicion and intervention to improve patient outcomes.