Literature DB >> 3560401

Fatal poisoning from sodium phosphate enema. Case report and experimental study.

R R Martin, G R Lisehora, M Braxton, P J Barcia.   

Abstract

An overdose of a common over-the-counter sodium phosphate enema solution was fatal in an infant. The marked hypernatremia, acidemia, hyperphosphatemia, and hypocalcemia observed before death were also produced in a porcine model. A study using pigs showed that the enema solution was lethal if retained in doses above 20 mL/kg, equivalent to four pediatric-sized enemas in a 2-year-old child. Even normal doses of the enema solution caused measurable changes in serum phosphorus and calcium levels.

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Year:  1987        PMID: 3560401

Source DB:  PubMed          Journal:  JAMA        ISSN: 0098-7484            Impact factor:   56.272


  20 in total

1.  Phosphate enema toxicosis in a pygmy goat wether.

Authors:  Shirani A Hickman; Marjorie S Gill; Steven L Marks; Julie A Smith; Gary A Sod
Journal:  Can Vet J       Date:  2004-10       Impact factor: 1.008

2.  Symptomatic hypocalcemia, hypomagnesemia, and hyperphosphatemia secondary to Fleet's Phospho-Soda colonoscopy preparation in a patient with a jejunoileal bypass.

Authors:  E D Ehrenpreis; J M Wieland; J Cabral; V Estevez; D Zaitman; K Secrest
Journal:  Dig Dis Sci       Date:  1997-04       Impact factor: 3.199

3.  The erroneous use by an accident and emergency department of plain abdominal radiographs in the diagnosis of constipation.

Authors:  A Bewley; M J Clancy; J R Hall
Journal:  Arch Emerg Med       Date:  1989-12

4.  Flow-through peritoneal dialysis in neonatal enema-induced hyperphosphatemia.

Authors:  Dusan Kostic; Andre Broggin Dutra Rodrigues; Antônio Leal; Camila Metran; Meire Nagaiassu; Andréia Watanabe; Maria Esther Ceccon; Uenis Tannuri; Vera Hermina Koch
Journal:  Pediatr Nephrol       Date:  2010-06-06       Impact factor: 3.714

Review 5.  Can features of phosphate toxicity appear in normophosphatemia?

Authors:  Satoko Osuka; Mohammed S Razzaque
Journal:  J Bone Miner Metab       Date:  2012-01-05       Impact factor: 2.626

6.  Hyperphosphataemia after enemas in childhood: prevention and treatment.

Authors:  M F Hunter; M R Ashton; D M Griffiths; P Ilangovan; J P Roberts; V Walker
Journal:  Arch Dis Child       Date:  1993-02       Impact factor: 3.791

Review 7.  Severe hyperphosphatemia after administration of sodium-phosphate containing laxatives in children: case series and systematic review of literature.

Authors:  Hannah N Ladenhauf; Ottokar Stundner; Florian Spreitzhofer; Stefan Deluggi
Journal:  Pediatr Surg Int       Date:  2012-08       Impact factor: 1.827

8.  Comparative studies on the usefulness of phosphate versus glycerin enema in preparation for colon examinations.

Authors:  F Sugimura; H Ryoh; T Watanabe; N Kaneda; K Yonemitsu; T Aoki; Y Motoki; F Kawamura; H Ariga; Y Matsuo
Journal:  Gastroenterol Jpn       Date:  1990-08

9.  Effects of a 250-mL enema containing sodium phosphate on electrolyte concentrations in healthy volunteers: An open-label, randomized, controlled, two-period, crossover clinical trial.

Authors:  Belén Sédaba; Josh R Azanza; Miguel A Campanero; Emilio Garcia-Quetglas; Maria Josh Muñoz; Santiago Marco
Journal:  Curr Ther Res Clin Exp       Date:  2006-09

10.  Hyperphosphatemia after sodium phosphate laxatives in low risk patients: prospective study.

Authors:  Marcela-Noemi Casais; Guillermo Rosa-Diez; Susana Pérez; Elina-Noemi Mansilla; Susana Bravo; Francisco-Carlos Bonofiglio
Journal:  World J Gastroenterol       Date:  2009-12-21       Impact factor: 5.742

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