Citation

Sane MR, Malukani K, Kulkarni R, Varun A. Indian J. Crit. Care Med. 2018; 22(11): 801-803.

Affiliation

Department of Forensic Medicine and Toxicology, Sri Aurobindo Medical College and PGI, Indore, Madhya Pradesh, India.

Copyright

(Copyright © 2018, Indian Society of Critical Care Medicine, Publisher Medknow Publications)

DOI

10.4103/ijccm.IJCCM_188_18

PMID

30598567

PMCID

PMC6259445

Abstract

Acute iron toxicity is usually seen in children with accidental ingestion of iron-containing syrups. However, the literature on acute iron toxicity with suicidal intent in adults is scant. We report an instance wherein an adult committed suicide by ingestion of multiple iron tablets. Delay in treatment was there due to misdiagnosis of the intoxicating agent. She developed fulminant hepatic failure with rapid clinical deterioration. Despite aggressive supportive management, the patient succumbed to the toxic doses of iron. Clinical course and postmortem features are discussed with a review of the literature.

Language: en

Keywords

Ferrous sulfate; Perl's stain; hepatic failure; toxidrome