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Case Reports
. 2018 Dec 11;8(6):373-375.
doi: 10.1080/20009666.2018.1551027. eCollection 2018.

Severe salicylate poisoning resistant to conventional management

Divya Akshintala  1 , Anjeanette Mendez  2 , Ossama I Ikladios  3 , Vamsi Krishna Emani  2
Affiliations
Case Reports

Severe salicylate poisoning resistant to conventional management

Divya Akshintala et al. J Community Hosp Intern Med Perspect. .

Abstract

Aspirin remains one of the most common agents involved in both accidental and intentional overdose. The availability of enhanced elimination and early hemodialysis has been known to reduce the number of deaths from salicylate poisoning. We present the case of an intentional aspirin overdose with enteric-coated preparation that had continuously rising salicylate levels despite treatment with bicarbonate drip, continuous dialysis and activated charcoal.

Keywords: Pharmacobezoar; aspirin overdose; salicylate poisoning.

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Figures

Figure 1.
Figure 1.
Density in the stomach fundus, suspicious for an aspirin bezoar (pointed by arrow).
Graph 1.
Graph 1.
Representation of Salicylate levels and course of treatment interventions.
See this image and copyright information in PMC

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