title: Hypermagnesemia following an acute ingestion of Epsom salt in a patient with normal renal function.
abstract: Hypermagnesemia is a rare condition that commonly follows excessive therapeutic administration of magnesium sulfate to treat eclampsia of pregnancy. Signs and symptoms of this condition include extreme muscle weakness, loss of deep tendon reflexes, mental status depression, and cardiac dysrhythmias. Clinically significant hypermagnesemia following oral or rectal administration of magnesium containing products in patients with normal renal function is rare. We report a case of hypermagnesemia following massive Epsom salt ingestion that resulted in extreme musculoskeletal weakness and altered mentation.
authors.affiliation: San Diego Regional Poison Center, University of California, San Diego Medical Center 92103-8925, USA.
authors.forename: S P
authors.initials: SP
authors.lastname: Nordt
authors.forename: S R
authors.initials: SR
authors.lastname: Williams
authors.forename: S
authors.initials: S
authors.lastname: Turchen
authors.forename: A
authors.initials: A
authors.lastname: Manoguerra
authors.forename: D
authors.initials: D
authors.lastname: Smith
authors.forename: R F
authors.initials: RF
authors.lastname: Clark
mesh_terms: D002493:Central Nervous System Diseases / Q000139:chemically induced / Q000209:etiology; D005260:Female; D006801:Humans; D008278:Magnesium Sulfate / Q000097:blood / Q000506:poisoning*; D008875:Middle Aged; D009135:Muscular Diseases / Q000139:chemically induced / Q000209:etiology; D009141:Musculoskeletal System / Q000187:drug effects*; D011041:Poisoning / Q000628:therapy
chemical_list: D008278:Magnesium Sulfate