title: Marked hypocalcemia and ventricular fibrillation in two pediatric patients exposed to a fluoride-containing wheel cleaner.
abstract: In two separate cases, pediatric patients exposed to Armor-All Quicksilver Wheel Cleaner exhibited systemic toxicity including mental status changes, marked hypocalcemia, and ventricular fibrillation. One child also demonstrated profound hypomagnesemia. These are the first pediatric reports of near-fatal outcomes after ingestion or inhalation of a hydrofluoric acid-like product, namely, ammonium bifluoride.
authors.affiliation: Cardinal Glennon Regional Poison Center, St Louis, Missouri, USA.
authors.forename: Ann E
authors.initials: AE
authors.lastname: Klasner
authors.forename: A J
authors.initials: AJ
authors.lastname: Scalzo
authors.forename: C
authors.initials: C
authors.lastname: Blume
authors.forename: P
authors.initials: P
authors.lastname: Johnson
authors.forename: M W
authors.initials: MW
authors.lastname: Thompson
mesh_terms: D064751:Ammonium Compounds; D002675:Child, Preschool; D004562:Electrocardiography; D005260:Female; D005459:Fluorides / Q000633:toxicity*; D006801:Humans; D006858:Hydrofluoric Acid / Q000506:poisoning*; D006996:Hypocalcemia / Q000097:blood / Q000139:chemically induced*; D008275:Magnesium Deficiency / Q000097:blood / Q000139:chemically induced; D008297:Male; D000644:Quaternary Ammonium Compounds; D014693:Ventricular Fibrillation / Q000139:chemically induced
chemical_list: D064751:Ammonium Compounds; D000644:Quaternary Ammonium Compounds; C024822:ammonium fluoride; D005459:Fluorides; D006858:Hydrofluoric Acid