title: The essential role of a poison center in handling an outbreak of barium carbonate poisoning.
abstract: Acute barium salt poisoning may cause acute hypokalemia and result in respiratory paralysis and ventricular tachyarrhythmias. The early nonspecific gastrointestinal symptoms of barium poisoning due to food contamination could be confused with other benign food poisonings. Early diagnosis and initiation of intensive supportive care is essential. We report an outbreak of acute barium carbonate poisoning, occurring at a family reunion party, which resulted in 9 hospital admissions. All of the victims initially developed nausea, vomiting, abdominal colic, dizziness and watery diarrhea followed by numbness of the face and distal extremities 1-2 h after ingesting fried flour-coated sweet potatoes. The flour was later confirmed to be contaminated with barium carbonate. One person died in the emergency room with a serum potassium level of 0.8 mEq/L. Two other victims developed ventricular tachycardia and respiratory paralysis but completely recovered with the treatment advice provided by the poison center. The poison center was successful in helping to make the correct diagnosis in a timely manner, immediately distribute the treatment protocol, and coordinate the laboratory confirmation of barium carbonate poisoning.
authors.affiliation: National Poison Center, Veterans General Hospital, Taipei, Taiwan.
authors.forename: J F
authors.initials: JF
authors.lastname: Deng
authors.forename: I S
authors.initials: IS
authors.lastname: Jan
authors.forename: H S
authors.initials: HS
authors.lastname: Cheng
mesh_terms: D000328:Adult; D000368:Aged; D001464:Barium / Q000097:blood / Q000506:poisoning*; D002254:Carbonates; D002675:Child, Preschool; D004196:Disease Outbreaks; D005190:Family; D005260:Female; D005506:Food Contamination; D006801:Humans; D007008:Hypokalemia / Q000097:blood / Q000139:chemically induced; D008297:Male; D008875:Middle Aged; D011039:Poison Control Centers
chemical_list: D002254:Carbonates; D001464:Barium; C006685:barium carbonate