Acute iron ingestion

Tansu Sipahi1, Cemsit Karakurt, Arzu Bakirtas

  • 1Dr. Sami Ulus Children's Hospital, Department of Pediatrics, Turkey. tansusipahi@hotmail.com

Insights

Acute iron poisoning in children requires prompt recognition and treatment. Early intervention, including whole bowel irrigation and deferoxamine, is critical for reducing severe outcomes from iron-containing product ingestion.

Area of Science:

  • Pediatric Emergency Medicine
  • Toxicology
  • Clinical Case Reports

Background:

  • Intoxication is a leading cause of pediatric emergency department admissions.
  • The incidence of iron poisoning is rising due to the widespread availability of iron supplements.

Purpose of the Study:

  • To report on five pediatric cases of acute iron ingestion.
  • To highlight the importance of timely management in iron poisoning.

Main Methods:

  • Case series of five pediatric patients admitted for iron ingestion.
  • Treatment included gastric lavage, whole bowel irrigation for significant iron doses (>50 mg/kg), and deferoxamine when indicated.

Main Results:

  • Management strategies were applied to pediatric patients with acute iron poisoning.
  • The study involved five distinct cases requiring emergency intervention.

Conclusions:

  • Prompt recognition and treatment are paramount in managing pediatric iron poisoning.
  • Effective management can significantly decrease morbidity and mortality associated with iron-containing products.
Abstract

Related Concept Videos

Anticholinesterase Agents: Poisoning and Treatment01:26

Anticholinesterase Agents: Poisoning and Treatment

Anticholinesterases, also known as cholinesterase inhibitors, work by blocking the breakdown of acetylcholine, leading to its accumulation in the synaptic cleft. This accumulation indirectly enhances both muscarinic and nicotinic actions. These agents are classified as reversible or irreversible based on their mechanism of action.     
Irreversible agents form a strong bond with the cholinesterase enzyme, making it inactive. The breakdown of the phosphorylated enzyme is slower than the...
Acute Pancreatitis I: Introduction01:25

Acute Pancreatitis I: Introduction

Acute pancreatitis is the sudden inflammation of the pancreas caused by the early activation of digestive enzymes, leading to the autodigestion of pancreatic tissue. This results in local inflammation and, in severe cases, systemic complications.EtiologyUnderstanding the underlying causes is crucial, as identifying the etiology guides treatment and anticipates complications. Acute pancreatitis can be triggered by various factors, typically grouped into the following clinical categories.Biliary...
Acute Pancreatitis I: Introduction01:27

Acute Pancreatitis I: Introduction

Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
Acid Mine Drainage01:19

Acid Mine Drainage

Mining activities that disturb sulfide-rich rocks, particularly those containing pyrite (FeS₂), initiate a cascade of geochemical and microbiological processes with serious environmental implications. When exposed to air and water, pyrite undergoes oxidation, releasing sulfate, ultimately forming sulfuric acid and mobilizing heavy metals into surrounding water systems. This phenomenon, known as acid mine drainage (AMD), results in low pH waters laden with toxic elements that threaten aquatic...
Upper GI Series: Barium Swallow01:24

Upper GI Series: Barium Swallow

The Barium Swallow Study, or a Barium Esophagogram, is a diagnostic imaging method used to visualize the upper gastrointestinal (GI) tract, including the esophagus, stomach, and small intestine. It employs barium sulfate, a radiopaque contrast material, to provide clear images of the upper digestive system, helping to identify abnormalities, diseases, or structural issues.
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
Ionic Strength: Effects on Chemical Equilibria01:19

Ionic Strength: Effects on Chemical Equilibria

The addition of an inert ionic compound increases the solubility of a sparingly soluble salt. For example, adding potassium nitrate to a saturated solution of calcium sulfate significantly enhances the solubility of calcium sulfate. Le Châtelier's principle cannot predict this shift in the equilibrium. Instead, this could be explained in terms of changes in the effective concentration of the ions in solution in the presence of added inert salt.
In this solution, the primary cation—the calcium...