title: Acute iron intoxication in pregnancy: case report and review of the literature.
abstract: Limited reports exist regarding acute iron intoxication during pregnancy. The maternal and fetal effects of accidental or deliberate ingestion of large amounts of iron may be catastrophic. A case report of acute iron intoxication, management strategies, and a review of the literature are presented. The cornerstones of effective therapy are aggressive management with emesis induction or gastric lavage, bicarbonate instillation, vigorous intravenous hydration, and chelation therapy with deferoxamine.
authors.affiliation: Department of Obstetrics and Gynecology, Sinai Hospital, Wayne State University School of Medicine, Detroit, Michigan.
authors.forename: H
authors.initials: H
authors.lastname: Lacoste
authors.forename: G L
authors.initials: GL
authors.lastname: Goyert
authors.forename: L S
authors.initials: LS
authors.lastname: Goldman
authors.forename: D J
authors.initials: DJ
authors.lastname: Wright
authors.forename: D B
authors.initials: DB
authors.lastname: Schwartz
mesh_terms: D000293:Adolescent; D003676:Deferoxamine / Q000627:therapeutic use; D003692:Delayed-Action Preparations; D005260:Female; D005296:Ferrous Compounds / Q000008:administration & dosage / Q000506:poisoning*; D006801:Humans; D011041:Poisoning / Q000628:therapy; D011247:Pregnancy; D011248:Pregnancy Complications / Q000139:chemically induced*; D011256:Pregnancy Outcome; D013406:Suicide, Attempted
chemical_list: D003692:Delayed-Action Preparations; D005296:Ferrous Compounds; C020748:ferrous sulfate; D003676:Deferoxamine