{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:19:46Z","timestamp":1787750386314,"version":"build-2784847793"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Formic acid is widely used in rubber latex coagulation, especially in semiurban and rural industrial settings. Its unregulated handling poses significant occupational health hazards. The objectives of the case series are to document the clinical, toxicological, and autopsy findings in six fatal cases of formic acid poisoning among rubber industry workers in Tripura, India. To document the clinical, toxicological, and autopsy findings in six fatal cases of formic acid poisoning among rubber industry workers in Tripura, India. This retrospective case series analyzed clinical records, autopsy findings, histopathology, and toxicology reports of six deceased individuals exposed to formic acid through ingestion or inhalation. All victims were rubber factory or plantation workers; five deaths were suicidal and one accidental. Common features included metabolic acidosis, gastrointestinal corrosion, pulmonary edema, and multi-organ failure. Histopathology revealed acute tubular necrosis, gastric mucosal necrosis, and alveolar edema. Toxicology confirmed lethal levels of formic acid. These cases highlight critical gaps in occupational safety, chemical handling practices, and mental health support in industrial environments handling corrosive agents like formic acid.<\/jats:p>","DOI":"10.4103\/ijoem.ijoem_281_25","type":"journal-article","created":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T14:01:31Z","timestamp":1782309691000},"page":"189-193","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Formic Acid Poisoning Fatalities Among Rubber Latex Processing Workers: A Case Series"],"prefix":"10.4103","volume":"30","author":[{"given":"Nani Gopal","family":"Das","sequence":"first","affiliation":[{"name":"Assistant Professor, Department of Forensic Medicine and Toxicology, Tripura Medical College and Dr. BRAM Teaching Hospital, Hapania, Agartala, Tripura, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhik","family":"Sil","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Tripura Medical College and Dr. BRAM Teaching Hospital, Hapania, Agartala, Tripura, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arkadip","family":"Choudhury","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Tripura Medical College and Dr. BRAM Teaching Hospital, Hapania, Agartala, Tripura, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nirmalendu","family":"Das","sequence":"additional","affiliation":[{"name":"Senior Resident, Department of Anatomy, Tripura Medical College & Dr. BRAM Teaching Hospital, Hapania, Agartala, Tripura, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica","family":"Debbarma","sequence":"additional","affiliation":[{"name":"Senior Scientific Officer, Toxicology Division, Tripura State Forensic Science Laboratory, Department of Home Affairs, Government of Tripura, Tripura, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,6,24]]},"reference":[{"key":"R3-20260728","doi-asserted-by":"crossref","first-page":"38","DOI":"10.4103\/cmi.cmi_17_19","article-title":"Formic acid poisoning: The vital role of endoscopy in assessment and follow-up","volume":"17","author":"Sabeerali","year":"2019","journal-title":"Curr Med Issues"},{"key":"R4-20260728","doi-asserted-by":"crossref","first-page":"3941","DOI":"10.18203\/2320-6012.ijrms20194337","article-title":"A case of formic acid poisoning: Prompting for a different line of management","volume":"7","author":"Nayanatara","year":"2019","journal-title":"Int J Res Med Sci"},{"key":"R5-20260728","first-page":"e7988","article-title":"An atypical presentation of formic acid poisoning","volume":"12","author":"Vyata","year":"2020","journal-title":"Cureus"},{"key":"R6-20260728","doi-asserted-by":"crossref","first-page":"2166","DOI":"10.14260\/jemds\/2020\/472","article-title":"Systemic effects and medicolegal aspects of formic acid poisoning: An autopsy study","volume":"9","author":"Sujisha","year":"2020","journal-title":"J Evolution Med Dent Sci"},{"key":"R7-20260728","first-page":"1","article-title":"Complications of acute formic acid poisoning: A series of five cases","volume":"18","author":"Debnath","year":"2024","journal-title":"J Clin Diagn Res"},{"key":"R8-20260728","doi-asserted-by":"crossref","first-page":"111","DOI":"10.4103\/tjem.tjem_213_23","article-title":"Outcome of early emergency intubation and early emergency dialysis in deliberate self-harm with formic acid","volume":"24","author":"Balasubramanian","year":"2024","journal-title":"Turk J Emerg Med"}],"container-title":["Indian Journal of Occupational and Environmental Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijoem.ijoem_281_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T12:27:50Z","timestamp":1787747270000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijoem.ijoem_281_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":6,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/ijoem.ijoem_281_25","relation":{},"ISSN":["0973-2284","1998-3670"],"issn-type":[{"value":"0973-2284","type":"print"},{"value":"1998-3670","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"2025-08-02","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-12","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}