The convergence of considerations in aluminum phosphide poisoning: The occurrence of injuries beyond the metabolic manifestations

Aluminum phosphide (ALP) protects grains from pests, but toxicity to humans is still a major dilemma for society and health professionals, particularly in developing countries such as Iran and India. There is no antidote, and high mortality rate continues even with ongoing developments in treatment. Many papers which are published in the literature, review this important topic, providing extensive facts on metabolic manifestations as well as focusing on novel initiatives to scale‑up the standard of care of patients. However, a vast majority of them have ignored recently published evidence that elaborates the causes of detrimental events associated with the metabolic disturbances. Thus, the story still continues why even with such advances in management protocols and lethal outcomes remain high.