Aluminum phosphide poisoning, an unusual presentation

Aluminum phosphide (ALP) is a very toxic compound commercially accessible as "rice tablet" in some markets in Iran. Although this toxin is used as a pesticide to protect grains from pests, it may be used for committing suicide. The poisoned patient experiences gastrointestinal problems as the first clinical manifestations in case of oral use, then develops acid-base disturbance, shock, and death in many cases. Intoxication with ALP can also affect the patient's hemodynamic status and cause electrocardiograph alterations, dysrhythmias, and even myocardial necrosis. In the current study, we introduce a young man who consumed an ALP tablet in a suicidal attempt and developed myocardial infarction even before metabolic acidosis and hypotension.