{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T06:25:51Z","timestamp":1765261551055,"version":"3.46.0"},"reference-count":21,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T00:00:00Z","timestamp":1762905600000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2025,11]]},"abstract":"ABSTRACT<\/jats:title>\n \n Zinc phosphide (Zn\n 3<\/jats:sub>\n P\n 2<\/jats:sub>\n ) poisoning during pregnancy is exceedingly unusual and potentially lethal, with no previously known occurrences globally. We present a 26\u2010year\u2010old woman, gravida 2 para 1, at 29\u2009weeks gestation, who took 15\u2009g of Zn\n 3<\/jats:sub>\n P\n 2<\/jats:sub>\n in a suicidal attempt and experienced non\u2010projectile vomiting. Her vital signs were stable (BP 110\/80\u2009mmHg, GCS 15\/15), but she experienced transitory hepatic dysfunction that improved on Day 4 with supportive therapy such as coconut oil gastric lavage, intravenous fluids, and pantoprazole. The fetal scan confirmed viability (heart rate of 158\u2009bpm). The high mortality of Zn\n 3<\/jats:sub>\n P\n 2<\/jats:sub>\n (37%\u2013100%) is caused by phosphine gas\u2010induced suppression of mitochondrial respiration. This case emphasizes the lack of a particular antidote and the significance of immediate decontamination, hepatic monitoring, and mental follow\u2010up following purposeful consumption.\n <\/jats:p>","DOI":"10.1002\/ccr3.71446","type":"journal-article","created":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T12:52:08Z","timestamp":1762951928000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Zinc Phosphide Poisoning in Pregnancy: A Rare Case Report From Nepal"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-1148-3751","authenticated-orcid":false,"given":"Nabin","family":"Pahari","sequence":"first","affiliation":[{"name":"Department of Intensive Care Lumbini Provincial Hospital Butwal Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sushant","family":"Shrestha","sequence":"additional","affiliation":[{"name":"Department of Emergency Devdaha Medical College Rupandehi Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5195-1998","authenticated-orcid":false,"given":"Sagun","family":"Ghimire","sequence":"additional","affiliation":[{"name":"B & B International Hospital Kathmandu Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mukesh","family":"Pahari","sequence":"additional","affiliation":[{"name":"Devdaha Medical College Rupandehi Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anmol Singh","family":"Shrestha","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Devdaha Medical College Rupandehi Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sahas","family":"Chhetri","sequence":"additional","affiliation":[{"name":"Department of Emergency Devdaha Medical College Rupandehi Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mrinal","family":"Silwal","sequence":"additional","affiliation":[{"name":"Kathmandu Model Institute of Health Sciences Kathmandu Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,12]]},"reference":[{"key":"e_1_2_13_2_1","article-title":"An Epidemiological Study on Acute Zinc Phosphide Poisoning in Nepal","author":"Lohani S. 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