title: Massive strontium ferrite ingestion without acute toxicity.
abstract: Ingestion of strontium ferrite is previously unreported. We document absorption of strontium without acute toxicity. A 22 year-old schizophrenic man was brought to hospital after he was witnessed to pulverize and ingest flexible adhesive magnets, which later were identified as strontium ferrite. Other than auditory hallucinations his vital signs, physical examination, ECG and routine laboratories were unremarkable. Abdominal radiographs revealed diffuse radiopaque material. He was treated with whole bowel irrigation with polyethylene glycol electrolyte lavage solution (PEG-ELS) until radiographically cleared. His initial blood and urine strontium levels were 2900 microg/l and 15,000 microg/l, respectively (reference range for urine: <240 microg/l, occupational threshold 800 microg/l). A repeat urine level one week later was 370 microg/l. His hospital course was complicated by bacteraemia secondary to a thrombophlebitis at the site of the intravenous catheter, and the patient was treated with intravenous and oral antibiotics. He remained otherwise asymptomatic and was discharged to a psychiatric unit approximately 3 weeks later. Although clearly absorbed, strontium ferrite does not appear to produce acute toxicity. Delayed, and or chronic toxicity cannot be excluded based on this report.
authors.affiliation: New York City Poison Control Center, Department of Emergency Medicine, New York University School of Medicine, New York, NY, USA. bmkirrane@msn.com
authors.forename: Barbara M
authors.initials: BM
authors.lastname: Kirrane
authors.forename: Lewis S
authors.initials: LS
authors.lastname: Nelson
authors.forename: Robert S
authors.initials: RS
authors.lastname: Hoffman
mesh_terms: D000328:Adult; D005290:Ferric Compounds / Q000378:metabolism / Q000633:toxicity*; D006801:Humans; D007408:Intestinal Absorption; D007422:Intestines / Q000000981:diagnostic imaging / Q000187:drug effects; D008280:Magnetics; D008297:Male; D011041:Poisoning / Q000628:therapy*; D011859:Radiography; D013324:Strontium / Q000378:metabolism / Q000633:toxicity*; D013406:Suicide, Attempted; D007507:Therapeutic Irrigation / Q000379:methods; D016896:Treatment Outcome
chemical_list: D005290:Ferric Compounds; C001215:ferrite; D013324:Strontium