Acute phosphorus poisoning is a grave clinical situation because of its toxicity and multiple system effects. The absence of a specific antidote makes the associated fatalities very high. In this report, a 22 year old woman presented with the clinical and radiological features which were characteristic of acute pulmonary oedema, after the consumption of phosphorus paste as a suicidal attempt. The initial echocardiography showed low ejection fractions and with aggressive haemodynamic monitoring and ionotropic support, she recovered within 48 hours of admission
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