Hard as Iron : A Case of Delayed Presentation of Severe Iron Toxicity With Diagnostic and Treatment Dilemmas
Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved..
ABSTRACT: Cases of severe iron toxicity have become increasingly rare; most cases are intentional ingestions by late adolescents and adults who present within 12 hours of ingestion. We present a case of an adolescent girl with metabolic acidosis, hypoglycemia, obtundation, and liver and renal failure of undifferentiated etiology who was eventually discovered to have overdosed on ferrous sulfate tablets 4 days before arrival. The diagnosis was made because the patient had an elevated transferrin concentration in the setting of a minimally elevated serum iron concentration and faint radio-opacities on abdominal plain film imaging. This case presents many diagnostic challenges and treatment dilemmas and is a rare report of survival in delayed presentation of severe toxicity.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:37 |
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| Enthalten in: |
Pediatric emergency care - 37(2021), 5 vom: 01. Mai, Seite e269-e271 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Rickner, Shannon S [VerfasserIn] |
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| Themen: |
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| Anmerkungen: |
Date Completed 18.08.2021 Date Revised 02.10.2023 published: Print Citation Status MEDLINE |
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| doi: |
10.1097/PEC.0000000000002430 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 520 | |a ABSTRACT: Cases of severe iron toxicity have become increasingly rare; most cases are intentional ingestions by late adolescents and adults who present within 12 hours of ingestion. We present a case of an adolescent girl with metabolic acidosis, hypoglycemia, obtundation, and liver and renal failure of undifferentiated etiology who was eventually discovered to have overdosed on ferrous sulfate tablets 4 days before arrival. The diagnosis was made because the patient had an elevated transferrin concentration in the setting of a minimally elevated serum iron concentration and faint radio-opacities on abdominal plain film imaging. This case presents many diagnostic challenges and treatment dilemmas and is a rare report of survival in delayed presentation of severe toxicity | ||
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