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A severe case of multiple metal poisoning in a child treated with a traditional medicine

Vanessa Steenkamp1, Michael J Stewart, Ewa Curowska

  • 1Toxicology Unit, Department of Chemical Pathology, University of the Witwatersrand Medical School, 7 York Road, Parktown 2193, Gauteng, South Africa.

Forensic Science International
|August 15, 2002
PubMed

Insights

A child experienced severe illness, including metabolic acidosis, after consuming a traditional medicine. Analysis revealed the medicine contained dangerously high levels of iron and manganese, indicating potential metal poisoning from non-herbal remedies.

Area of Science:

  • Toxicology
  • Environmental Health
  • Pediatrics

Background:

  • Traditional medicines are widely used, particularly in regions like South Africa.
  • Non-herbal traditional remedies can pose risks due to unknown compositions.
  • Metal poisoning is a known concern with certain traditional preparations.

Observation:

  • A child presented with severe gastrointestinal symptoms and metabolic acidosis after oral intake of a traditional medicine.
  • The child required hospitalization for renal failure and supportive care.
  • The patient was successfully treated and discharged in good health.

Findings:

  • Inductively coupled plasma-optical emission spectrometry revealed extremely high concentrations of iron and manganese in the analyzed traditional remedy.
  • Lesser, but still significant, concentrations of other metals and salts were detected.
  • The elemental composition suggested the source was Transvaal dolomite surface fractures.

Implications:

  • This case highlights the potential for severe metal poisoning from non-herbal traditional medicines.
  • It underscores the importance of rigorous analysis and quality control for traditional remedies.
  • Public health awareness regarding the risks associated with certain traditional medicines is crucial.

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