{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T10:15:26Z","timestamp":1788171326304,"version":"build-2803163510"},"reference-count":21,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T00:00:00Z","timestamp":1784851200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"vor","delay-in-days":38,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"DOI":"10.1186\/s13256-026-06403-2","type":"journal-article","created":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T14:14:37Z","timestamp":1784902477000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Delayed ischemic stroke ten days after aluminum phosphide ingestion in a previously healthy 21-year-old Ethiopian woman: a case report"],"prefix":"10.1186","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-5196-1532","authenticated-orcid":false,"given":"Amanuel Mesfin","family":"Oljira","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Segni Shube","family":"Hunduma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dereje Gurmessa","family":"Geleta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rabira Waktola","family":"Gonfa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dawit Yosef","family":"Barkesa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bisrat Abate","family":"Bekele","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eliab Negusse","family":"Reda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dagim Weldegiorgis","family":"Fininsa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aemon Berhane","family":"Fissha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathewos Tesfaye","family":"Yanore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,24]]},"reference":[{"key":"6403_CR1","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1186\/s12873-025-01294-w","volume":"25","author":"KD Altaye","year":"2025","unstructured":"Altaye KD, Assefa BY, Teka AW, Worku SM, Genet GB, Liyew B, et al. Metallophosphide poisoning, a rising public health problem in Ethiopia: a systematic review and meta-analysis. BMC Emerg Med. 2025;25:133.","journal-title":"BMC Emerg Med"},{"key":"6403_CR2","doi-asserted-by":"publisher","first-page":"1053","DOI":"10.1016\/j.toxrep.2018.10.009","volume":"5","author":"A Karimani","year":"2018","unstructured":"Karimani A, Mohammadpour AH, Zirak MR, Rezaee R, Megarbane B, Tsatsakis A, et al. Antidotes for aluminum phosphide poisoning\u2014an update. Toxicol Rep. 2018;5:1053\u20139.","journal-title":"Toxicol Rep"},{"key":"6403_CR3","doi-asserted-by":"publisher","first-page":"454","DOI":"10.1007\/s12012-020-09592-4","volume":"20","author":"SF Hosseini","year":"2020","unstructured":"Hosseini SF, Forouzesh M, Maleknia M, Valiyari S, Maniati M, Samimi A. The molecular mechanism of aluminum phosphide poisoning in cardiovascular disease: pathophysiology and diagnostic approach. Cardiovasc Toxicol. 2020;20:454\u201361.","journal-title":"Cardiovasc Toxicol"},{"issue":"3","key":"6403_CR4","doi-asserted-by":"publisher","first-page":"178","DOI":"10.4103\/tjem.tjem_49_25","volume":"25","author":"S\u00c7 Karakaya","year":"2025","unstructured":"Karakaya S\u00c7, Yavuz CI. Aluminum phosphide: toxicological profiles, health risks, environmental impact, and management protocols: A review. Turk J Emerg Med. 2025;25(3):178\u201390.","journal-title":"Turk J Emerg Med."},{"issue":"12","key":"6403_CR5","first-page":"947","volume":"52","author":"M Abedini","year":"2014","unstructured":"Abedini M, Fatehi F, Tabrizi N. Ischemic stroke as a rare manifestation of aluminum phosphide poisoning: a case report. Acta Med Iran. 2014;52(12):947\u20139.","journal-title":"Acta Med Iran"},{"issue":"1","key":"6403_CR6","first-page":"12","volume":"10","author":"S Kumar","year":"2023","unstructured":"Kumar S, Gupta H, Atam V. Cerebral stroke in celphos poisoning: a rare case report. J Adv Res Med. 2023;10(1):12\u20135.","journal-title":"J Adv Res Med"},{"key":"6403_CR7","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2022.888493","volume":"13","author":"S Shafiee Dolat Abadi","year":"2022","unstructured":"Shafiee Dolat Abadi S, Zamani N, Abbasi S, Shojaei M, Hassanian-Moghaddam H. Neurologic sequelae of phosphide poisoning: a case report. Front Neurol. 2022;13: 888493.","journal-title":"Front Neurol"},{"issue":"5","key":"6403_CR8","doi-asserted-by":"publisher","first-page":"38","DOI":"10.7453\/gahmj.2013.008","volume":"2","author":"JJ Gagnier","year":"2013","unstructured":"Gagnier JJ, Kienle G, Altman DG, Moher D, Sox H, Riley D. The CARE guidelines: consensus-based clinical case reporting guideline development. Glob Adv Health Med. 2013;2(5):38\u201343.","journal-title":"Glob Adv Health Med."},{"issue":"2","key":"6403_CR9","doi-asserted-by":"publisher","first-page":"128","DOI":"10.1007\/s13181-021-00868-x","volume":"18","author":"FM Elgazzar","year":"2022","unstructured":"Elgazzar FM, Shama MA, Shoeib O, Hafez ASAF. The role of echocardiographic findings in estimating survival probability of intensive care unit admitted aluminum phosphide poisoned patients. J Med Toxicol. 2022;18(2):128\u201338.","journal-title":"J Med Toxicol"},{"issue":"1","key":"6403_CR10","doi-asserted-by":"publisher","DOI":"10.1093\/toxres\/tfae232","volume":"14","author":"MMS Zaghary","year":"2025","unstructured":"Zaghary MMS, Ali HAA, Ahmed AMK. The performance of ejection fraction as a predictor of mortality and morbidity in acute aluminium phosphide poisoning. Toxicol Res. 2025;14(1): tfae232.","journal-title":"Toxicol Res"},{"issue":"2","key":"6403_CR11","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1111\/j.1538-7836.2006.01753.x","volume":"4","author":"S Miyakis","year":"2006","unstructured":"Miyakis S, Lockshin MD, Atsumi T, Branch DW, Brey RL, Cervera R, et al. International consensus statement on an update of the classification criteria for definite antiphospholipid syndrome (APS). J Thromb Haemost. 2006;4(2):295\u2013306.","journal-title":"J Thromb Haemost"},{"key":"6403_CR12","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1007\/s44339-024-00008-4","volume":"1","author":"AH Mohammadpour","year":"2024","unstructured":"Mohammadpour AH, Samadi S, Sadjadi SA, Vafaeipour Z. Efficacy of therapeutic options in patients with aluminum phosphide poisoning. Discover Toxicol. 2024;1:10.","journal-title":"Discover Toxicol"},{"issue":"3","key":"6403_CR13","doi-asserted-by":"publisher","first-page":"345","DOI":"10.1093\/toxres\/tfad035","volume":"12","author":"ZK Sobh","year":"2023","unstructured":"Sobh ZK, Abd-Elhameed A. The therapeutic benefit of antioxidants on the outcome of acute aluminum phosphide poisoning: a systematic review and meta-analysis. Toxicol Res. 2023;12(3):345\u201354.","journal-title":"Toxicol Res"},{"issue":"4","key":"6403_CR14","doi-asserted-by":"publisher","first-page":"235","DOI":"10.1080\/10408444.2024.2329624","volume":"54","author":"ASAF Hafez","year":"2024","unstructured":"Hafez ASAF, Elgazzar FM, Sobh ZK, El-Ebiary AA. Gastrointestinal decontamination using oil-based solutions in patients with acute aluminum phosphide poisoning: a systematic review and meta-analysis. Crit Rev Toxicol. 2024;54(4):235\u201351.","journal-title":"Crit Rev Toxicol"},{"issue":"10","key":"6403_CR15","doi-asserted-by":"publisher","first-page":"1004","DOI":"10.1080\/15563650.2020.1719131","volume":"58","author":"AK Pannu","year":"2020","unstructured":"Pannu AK, Bhalla A, Gantala J, Sharma N, Kumar S, Dhibar DP. Glucose-insulin-potassium infusion for the treatment of acute aluminum phosphide poisoning: an open-label pilot study. Clin Toxicol (Phila). 2020;58(10):1004\u20139.","journal-title":"Clin Toxicol (Phila)"},{"issue":"3","key":"6403_CR16","doi-asserted-by":"publisher","first-page":"791","DOI":"10.1212\/CONT.0000000000001711","volume":"32","author":"TS Field","year":"2026","unstructured":"Field TS, Selvanathan T. Stroke in children and younger adults. Continuum (Minneap Minn). 2026;32(3):791\u2013818. https:\/\/doi.org\/10.1212\/CONT.0000000000001711.","journal-title":"Continuum (Minneap Minn)"},{"issue":"12","key":"6403_CR17","doi-asserted-by":"publisher","first-page":"3552","DOI":"10.1161\/STROKEAHA.125.051169","volume":"56","author":"S Yaghi","year":"2025","unstructured":"Yaghi S, Johansen MC, Ghannam M, et al. Proposal for the Ischemic Stroke Phenotyping System 2025: ISPS25. Stroke. 2025;56(12):3552\u201362. https:\/\/doi.org\/10.1161\/STROKEAHA.125.051169.","journal-title":"Stroke"},{"issue":"19","key":"6403_CR18","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13195930","volume":"13","author":"G Avola","year":"2024","unstructured":"Avola G, Pezzini A. Treatment-related reversible cerebral vasoconstriction syndrome. J Clin Med. 2024;13(19): 5930. https:\/\/doi.org\/10.3390\/jcm13195930.","journal-title":"J Clin Med"},{"key":"6403_CR19","doi-asserted-by":"publisher","DOI":"10.1038\/srep38802","volume":"6","author":"MLS Tai","year":"2016","unstructured":"Tai MLS, Viswanathan S, Rahmat K, et al. Cerebral infarction pattern in tuberculous meningitis. Sci Rep. 2016;6: 38802. https:\/\/doi.org\/10.1038\/srep38802.","journal-title":"Sci Rep"},{"issue":"9","key":"6403_CR20","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.29282","volume":"5","author":"MCC Sy","year":"2022","unstructured":"Sy MCC, Espiritu AI, Pascual JLRV. Global frequency and clinical features of stroke in patients with tuberculous meningitis: a systematic review. JAMA Netw Open. 2022;5(9): e2229282. https:\/\/doi.org\/10.1001\/jamanetworkopen.2022.29282.","journal-title":"JAMA Netw Open"},{"key":"6403_CR21","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-019-4004-5","volume":"19","author":"L Zhang","year":"2019","unstructured":"Zhang L, Zhang X, Li H, Chen G, Zhu M. Acute ischemic stroke in young adults with tuberculous meningitis. BMC Infect Dis. 2019;19: 362. https:\/\/doi.org\/10.1186\/s12879-019-4004-5.","journal-title":"BMC Infect Dis"}],"container-title":["Journal of Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13256-026-06403-2","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-026-06403-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-026-06403-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T09:25:02Z","timestamp":1788168302000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s13256-026-06403-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,24]]},"references-count":21,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["6403"],"URL":"https:\/\/doi.org\/10.1186\/s13256-026-06403-2","relation":{},"ISSN":["1752-1947"],"issn-type":[{"value":"1752-1947","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,24]]},"assertion":[{"value":"24 May 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 July 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 July 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Formal ethical committee approval was not required for a single de-identified case report per institutional policy. Written informed consent to participate was obtained from the patient.","order":1,"name":"Ethics","label":"Ethics approval and consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Written informed consent for publication of this case report, including clinical details and anonymized imaging, was obtained from the patient. A signed copy is held by the corresponding author in accordance with journal policy.","order":2,"name":"Ethics","label":"Consent for publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"512"}}