2007
DOI: 10.1177/0960327107071854
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Acute iron poisoning in adult female

Abstract: We report a case of a 27-year-old female with anemia, treated with high dose oral and parenteral iron therapy (within 20 days, the patient received a total dose of 4 g Fe+2 orally and 700 mg Fe+2 iv and im), and developed clinical manifestations characteristic of acute iron poisoning. Initial gastrointestinal symptoms and hypotension were followed by signs of mitochondrial toxicity: high leucocytosis, shock, multi-organ failure and disseminated intravascular coagulation. We discuss the difficulties in… Show more

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Cited by 19 publications
(23 citation statements)
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“…In our case deferrioxamine treatment was not given because serum iron level of the patient was not higher than 500μg/dL. 1,3 The patient whom vital findings were stable was discharged after 48hours.…”
Section: Discussionmentioning
confidence: 86%
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“…In our case deferrioxamine treatment was not given because serum iron level of the patient was not higher than 500μg/dL. 1,3 The patient whom vital findings were stable was discharged after 48hours.…”
Section: Discussionmentioning
confidence: 86%
“…The liver is one of the organs most affected by cellular iron toxicity, but other organs such as the heart, kidneys, lungs, and the hematologic systems may also be impaired. 1,2 With both corrosive and cellular toxicity, the end result is significant metabolic acidosis, due to several factors. Hypoper fusion due to significant volume loss, vasodilatation, and negative inotropic effect of iron will result in lactic acidosis.…”
Section: Discussionmentioning
confidence: 99%
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“…Serum demir düzeyi vücudun bağlama kapasitesini aştığında serbest radikaller oluşur ve lipid peroksidasyonu ile hücre yıkımı meydana gelir. Demir zehirlenmesinde karaciğer başta olmak üzere, kalp, böbrek, akciğerler ve hematolojik sistem olumsuz etkilenir (1)(2)(3).…”
Section: Gi Riflunclassified
“…Em humanos, a sua carência pode causar anemia ferropriva e outras disfunções. Mas em quantidades elevadas, o ferro pode ser tóxico (CORBETT, 1995;BALMADRID e BONO, 2009), já que quando metabolizado excessivamente, afeta quase todos os órgãos humanos, em função de sua toxicidade intracelular sistêmica, podendo aumentar a incidência de problemas cardía-cos e diabetes (ROBERTSON e TENENBEIN, 2006;SKOCZYNSKA et al, 2007). Devlin (2007) afirma que o acúmulo excessivo de ferro no fígado, no pâncreas e no coração pode levar a cirrose e tumores hepáticos, Diabetes mellitus e insuficiência cardíaca, respectivamente.…”
Section: Introductionunclassified