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[Death from fluoro-silicate in floor polish]

B Raikhlin-Eisenkraft1, I Nutenko, D Kniznik

  • 1Israel Poison Information Center, Haifa.

Harefuah
|March 1, 1994
PubMed
Summary

A healthy man died after ingesting floor polish containing fluoro-silicate. This household product poisoning led to severe metabolic acidosis, cardiac arrhythmias, and multi-organ failure despite intensive medical care.

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Area of Science:

  • Toxicology
  • Emergency Medicine
  • Cardiology

Background:

  • Household products can contain hidden toxic substances.
  • Accidental ingestion of poisonous household items poses a significant health risk.

Observation:

  • A 28-year-old man ingested Spanish floor polish (Cristalizador) which contained fluoro-silicate, not listed on the label.
  • The patient presented with bloody stool, loss of consciousness, severe metabolic acidosis, and hypocalcemia (serum calcium 3.8 mg/dL).

Findings:

  • The poisoning resulted in significant cardiac complications including subendocardial ischemia, ST-elevation, prolonged QT-interval, ventricular tachycardia, and atrial fibrillation.
  • Despite aggressive treatment with fluids, sodium bicarbonate, calcium, and antiarrhythmic drugs, the patient experienced multi-organ failure.
  • The fatal outcome was attributed to myocardial infarction, severe arrhythmia, and multi-organ failure.

Implications:

  • This case highlights the critical need for clear labeling of household product ingredients.
  • It underscores the potential for severe toxicity from seemingly innocuous products.
  • Enhanced poison control center resources and public awareness are crucial for preventing such fatalities.

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