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Successful Rescue of Deep Coma, Shock, and Arrhythmia Caused by Bittern Poisoning
Wenhua Cui1, Linchao Song1, Shijuan Zhang1
1Department of Intensive Care Unit, Yidu Central Hospital, Weifang, China.
Journal of Emergencies, Trauma, and Shock
|September 26, 2025
Summary
Brine poisoning from bittern, a tofu coagulant, can cause severe hypermagnesemia and hyperchloremia. This case highlights successful treatment with supportive therapy and hemofiltration, leading to full recovery.
Area of Science:
- Toxicology
- Internal Medicine
- Nephrology
Background:
- Bittern, a traditional tofu coagulant, is associated with poisoning incidents, particularly in rural North China.
- Bittern intoxication can lead to life-threatening electrolyte disturbances, primarily hypermagnesemia.
- Previous reports on bittern poisoning have focused on hypermagnesemia, with limited data on co-existing severe hyperchloremia.
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