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Case Reports
. 1997;35(1):97-100.
doi: 10.3109/15563659709001173.

Treatment of severe thallium intoxication

M L Malbrain  1 , G L Lambrecht, E Zandijk, P A Demedts, H M Neels, W Lambert, A P De Leenheer, R L Lins, R Daelemans
Affiliations
Case Reports

Treatment of severe thallium intoxication

M L Malbrain et al. J Toxicol Clin Toxicol. 1997.

Abstract

We report a successfully treated case of severe thallium intoxication. In spite of very high serum thallium (5,240 micrograms/L), symptomatology was minor and recovery complete. Prussian Blue was administered, diuresis was enhanced by intravenous fluids and a prolonged hemodialysis was started early. High blood flows (300 mL/min) and intravenous potassium chloride supplements, to mobilize thallium from the tissues, resulted in good clearances (96 to 150 mL/min). In order to prevent the well known complications, we recommend aggressive treatment of severe thallium intoxication.

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