title: Dead sea water intoxication.
abstract: Near drowning in the Dead Sea is associated with both respiratory manifestations and severe electrolyte abnormalities. It is often difficult to distinguish between the contributions of sea water aspiration or ingestion to clinical manifestations. We present a unique case of accidental ingestion of a large amount of Dead Sea water through a gastrostomy tube in which a patient with familial dysautonomia presented with severe electrolyte disturbances. Forced diuresis with large amounts of intravenous fluids resulted in clinical and biochemical improvement. Full recovery was achieved after 2 days of treatment.
authors.affiliation: Department of Pediatrics, Hadassah University Hospital, Mount Scopus, Jerusalem, Israel.
authors.forename: Floris
authors.initials: F
authors.lastname: Levy-Khademi
authors.forename: Rebecca
authors.initials: R
authors.lastname: Brooks
authors.forename: Channa
authors.initials: C
authors.lastname: Maayan
authors.forename: Ariel
authors.initials: A
authors.lastname: Tenenbaum
authors.forename: Isaiah D
authors.initials: ID
authors.lastname: Wexler
mesh_terms: D000059:Accidents; D002648:Child; D004231:Diuresis; D004402:Dysautonomia, Familial; D005774:Gastrostomy; D006801:Humans; D008297:Male; D012623:Seawater / Q000009:adverse effects*; D014869:Water Intoxication / Q000209:etiology* / Q000628:therapy; D014883:Water-Electrolyte Imbalance / Q000209:etiology* / Q000628:therapy