International Journal of Medicine Research

Authors
Juliya G John, Harini S, Grace N Raju, Chandana Sunil

Abstract
Auramine-o is yellow colored synthetic cow dung powder. In the rural area of Tamil Nadu, cow dung powder was commonly used as suicidal poison. It has a very high toxicity profile due to which even death can occur within hours of ingestion. Till now there is no specific antidote available for this poison. Amitriptyline, commonly prescribed antidepressant agent is very often involved in attempted suicides. Amitriptyline poisoning, which can be life-threatening, remains a significant clinical issue. The situation becomes harder when these two deadly poisons were taken together. Here we report a rare and severe poisoning case of 52 years old female who consumed yellow cow dung powder along with 100 Amitriptyline tablets as an attempt to suicide. The patient underwent gastric lavage thrice along with activated charcoal as a mean of gut decontamination. Supportive treatments for the clinical manifestations were given.