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[Acute iron poisoning. A case report].

F Jover1, L Andreu, J Robert

  • 1Servicio de Medicina Interna, Hospital Clínico Universitario de San Juan Alicante, España. fjoverdiaz@coma.es

Revista Medica De Chile
|August 21, 2001
PubMed
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Iron poisoning is a serious toxicological emergency, especially in children. A plain abdominal X-ray can quickly diagnose acute iron poisoning, aiding in prompt treatment with desferrioxamine chelation.

Area of Science:

  • Toxicology
  • Emergency Medicine
  • Radiology

Background:

  • Iron-containing products are common and pose a significant toxicological risk.
  • Iron ingestion is a leading cause of fatal pediatric unintentional poisonings.
  • Adult iron overdoses occur via accidental overdose or intentional suicidal attempts.

Observation:

  • A 42-year-old woman intentionally ingested iron pills.
  • A plain abdominal X-ray revealed over 20 pills in her stomach.
  • The patient was treated successfully with intravenous desferrioxamine.

Findings:

  • Plain abdominal X-ray is a valuable diagnostic tool for acute iron poisoning.
  • Early diagnosis via radiography facilitates timely and effective treatment.
  • Intravenous desferrioxamine chelation is an effective treatment for iron overdose.

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Implications:

  • Radiographic assessment should be considered in suspected acute iron poisoning cases.
  • Prompt diagnosis and treatment can prevent severe complications and fatalities.
  • Public awareness regarding the dangers of iron-containing products is crucial.