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Inconceivable Hypokalemia: A Case Report of Acute Severe Barium Chloride Poisoning
Barium is a heavy divalent alkaline earth metal that has been known as a muscle poison. Barium can cause human toxicity, which may lead to significant hypokalemia and have serious consequences. This paper reports a case of unprecedented barium intoxication in which the patient, who suffered from dep...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5093257/ https://www.ncbi.nlm.nih.gov/pubmed/27840643 http://dx.doi.org/10.1155/2016/2743134 |
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author | Tao, Haibo Man, Yanru Shi, Xiaoyuan Zhu, Jun Pan, Hang Qin, Qin Liu, Shanrong |
author_facet | Tao, Haibo Man, Yanru Shi, Xiaoyuan Zhu, Jun Pan, Hang Qin, Qin Liu, Shanrong |
author_sort | Tao, Haibo |
collection | PubMed |
description | Barium is a heavy divalent alkaline earth metal that has been known as a muscle poison. Barium can cause human toxicity, which may lead to significant hypokalemia and have serious consequences. This paper reports a case of unprecedented barium intoxication in which the patient, who suffered from depression, swallowed at least 3.0 g barium chloride to commit suicide. On admission, the patient presented with nausea, vomiting, stomach burning feeling, dizziness, and weakness. Emergency biochemical testing showed that the patient was suffering from severe hypokalemia (K(+) 1.7 mmol/L). His electrocardiogram (ECG) prompted atrioventricular blocking, ventricular tachycardia, prolongation of PR interval, ST segment depression with U waves, and T wave inversion. Intravenous potassium supplements were given immediately to correct hypokalemia and regular monitoring of vital signs and fluid balance was arranged. After all-out rescue of our hospital personnel, the condition of the patient is currently stable and he is gradually recovering. This case exemplifies the weaknesses of the management of toxic substances and the lack of mental health education for young people. We hope to get more attention for the supervision of toxic substances and the healthy development of young people. |
format | Online Article Text |
id | pubmed-5093257 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-50932572016-11-13 Inconceivable Hypokalemia: A Case Report of Acute Severe Barium Chloride Poisoning Tao, Haibo Man, Yanru Shi, Xiaoyuan Zhu, Jun Pan, Hang Qin, Qin Liu, Shanrong Case Rep Med Case Report Barium is a heavy divalent alkaline earth metal that has been known as a muscle poison. Barium can cause human toxicity, which may lead to significant hypokalemia and have serious consequences. This paper reports a case of unprecedented barium intoxication in which the patient, who suffered from depression, swallowed at least 3.0 g barium chloride to commit suicide. On admission, the patient presented with nausea, vomiting, stomach burning feeling, dizziness, and weakness. Emergency biochemical testing showed that the patient was suffering from severe hypokalemia (K(+) 1.7 mmol/L). His electrocardiogram (ECG) prompted atrioventricular blocking, ventricular tachycardia, prolongation of PR interval, ST segment depression with U waves, and T wave inversion. Intravenous potassium supplements were given immediately to correct hypokalemia and regular monitoring of vital signs and fluid balance was arranged. After all-out rescue of our hospital personnel, the condition of the patient is currently stable and he is gradually recovering. This case exemplifies the weaknesses of the management of toxic substances and the lack of mental health education for young people. We hope to get more attention for the supervision of toxic substances and the healthy development of young people. Hindawi Publishing Corporation 2016 2016-10-20 /pmc/articles/PMC5093257/ /pubmed/27840643 http://dx.doi.org/10.1155/2016/2743134 Text en Copyright © 2016 Haibo Tao et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Tao, Haibo Man, Yanru Shi, Xiaoyuan Zhu, Jun Pan, Hang Qin, Qin Liu, Shanrong Inconceivable Hypokalemia: A Case Report of Acute Severe Barium Chloride Poisoning |
title | Inconceivable Hypokalemia: A Case Report of Acute Severe Barium Chloride Poisoning |
title_full | Inconceivable Hypokalemia: A Case Report of Acute Severe Barium Chloride Poisoning |
title_fullStr | Inconceivable Hypokalemia: A Case Report of Acute Severe Barium Chloride Poisoning |
title_full_unstemmed | Inconceivable Hypokalemia: A Case Report of Acute Severe Barium Chloride Poisoning |
title_short | Inconceivable Hypokalemia: A Case Report of Acute Severe Barium Chloride Poisoning |
title_sort | inconceivable hypokalemia: a case report of acute severe barium chloride poisoning |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5093257/ https://www.ncbi.nlm.nih.gov/pubmed/27840643 http://dx.doi.org/10.1155/2016/2743134 |
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