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Multidisciplinær håndtering af svær jernforgiftning som følge af suicidalforsøg

Forfatter(e)

Stine Mette Petersen1, Trine Boysen2, Maria Saur Svane1 & Mikkel Bring Christensen3

1) Kirurgisk Sektion, Gastroenheden, Hvidovre Hospital, 2) Medicinsk Sektion, Gastroenheden, Hvidovre Hospital, 3) Klinisk Farmakologisk Afdeling, Bispebjerg Hospital

Ugeskr Læger 2020;182:V05200376

Reference: 
UgeskrLæger 2020;182:V05200376
Multidisciplinary treatment of acute iron poisoning due to suicide attempt

Stine Mette Petersen, Trine Boysen, Maria Saur Svane & Mikkel Bring Christensen

Ugeskr Læger 2020;182:V05200376

Intentional iron overdoses have an insidious and potentially fatal clinical course. This is a case report of a young woman, who deliberately ingested 300 tablets ferrous fumarate 330 mg, i.e. 400 mg elementary iron per kg body weight. Plain abdominal radiographs showed a conglomerate of iron tablets in the ventricle. Treatment consisted of endoscopic removal of tablets, deferoxamine antidote treatment, and whole bowel irrigation with macrogol laxatives. Toxicological risk evaluation of intentional iron overdoses is necessary to timely effectuate life-saving multidisciplinary empiric treatments.

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