2004
DOI: 10.1191/0960327104ht433oa
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Systemic absorption of lithium following ingestion of a lithium button battery

Abstract: Accidental ingestion of electrical batteries occurs commonly in children. This rarely is associated with severe morbidity and mortality.1,2 Significant symptoms can arise due to leakage of alkali or heavy metals from the battery after degradation in the gastrointestinal tract. The main heavy metal of concern in electrical batteries is mercury;3-6 this is the first report of ingestion of a lithium battery in a child associated with systemic absorption of lithiu… Show more

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Cited by 33 publications
(16 citation statements)
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“…54 and an asymptomatic 5-year-old with a serum lithium concentration transiently elevated (within the usual therapeutic range) after ingestion of a lithium cell, 55 no case of significant poisoning has been reported from these other metals. A rash attributed to nickel allergy may occur after ingestion of nickel-plated cells (28 cases reported in our previous series).…”
Section: Nbih and Medical Literature: Clinical Issues And The Urgencymentioning
confidence: 99%
“…54 and an asymptomatic 5-year-old with a serum lithium concentration transiently elevated (within the usual therapeutic range) after ingestion of a lithium cell, 55 no case of significant poisoning has been reported from these other metals. A rash attributed to nickel allergy may occur after ingestion of nickel-plated cells (28 cases reported in our previous series).…”
Section: Nbih and Medical Literature: Clinical Issues And The Urgencymentioning
confidence: 99%
“…This is well above the lethal dose [15]. In our case the battery contained lithium which in itself can cause toxicity, however the reported lithium levels in battery ingestion are well below toxic levels [16]. 2.…”
Section: Discussionmentioning
confidence: 73%
“…However, toxicity can occur at levels of 1.5 mequiv./L. One reported case of systemic lithium absorption as a result of coin battery ingestion could be found [16].…”
Section: Discussionmentioning
confidence: 98%
“…Exceptionally rare complications include esophageal or aortic perforation [2], tracheo-esophageal fistula [3][4][5][6][7][8][9][10], tracheo-esophageal fistula with a fatal hemorrhagic shock due to erosion of the inferior thyroid vessels [11], severe esophageal bleeding [12], bilateral vocal cord paralysis [13] and heavy metal (lithium, mercury) intoxication [14,15].…”
Section: Introductionmentioning
confidence: 99%