title: Near fatal iron intoxication managed conservatively.
abstract: We report here the case of an infant who presented to the emergency department after unintentional ingestion of almost 130 mg/kg of elemental iron. The infant had evidence of serious toxicity in the form of hypotension, metabolic acidosis and excessive irritability. Her serum iron levels were 360 µg/dl, which was well above the normal range for her age. Despite such high serum levels, the infant made an uneventful recovery with medical management alone and did not require exchange transfusion. We chose to report this case to highlight her uneventful recovery with conservative therapy alone.
authors: Department of Pediatrics, PGIMER, Dr RML Hospital, New Delhi, India. jhumasankar@gmail.com
authors: Jhuma
authors: J
authors: Sankar
authors: Amelin
authors: A
authors: Shukla
authors: Rohit
authors: R
authors: Khurana
authors: Nandkishore
authors: N
authors: Dubey
mesh_terms: D000208:Acute Disease; D003676:Deferoxamine / Q000627:therapeutic use; D003681:Dehydration / Q000209:etiology / Q000628:therapy; D062787:Drug Overdose / Q000150:complications / Q000628:therapy*; D004636:Emergency Service, Hospital; D005260:Female; D005440:Fluid Therapy; D006801:Humans; D007223:Infant; D007501:Iron / Q000506:poisoning*; D007502:Iron Chelating Agents / Q000627:therapeutic use
chemical_list: D007502:Iron Chelating Agents; D007501:Iron; D003676:Deferoxamine
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