Bromide Toxicity from Consumption of Dead Sea Salt

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Presentation transcript:

Bromide Toxicity from Consumption of Dead Sea Salt Brent R. Taylor, MD, Romina Sosa, MD, William J. Stone, MD The American Journal of Medicine Volume 123, Issue 3, Pages e11-e12 (March 2010) DOI: 10.1016/j.amjmed.2009.08.020 Copyright © 2010 Elsevier Inc. Terms and Conditions

Figure Electrolyte concentrations over time. Patient's admission electrolytes on day 1 were: Na+ 144, K+ 3.6, Cl− 175, HCO3− 25, Ca2+ 8.3 (reported in mEq/L). The patient was seen several months earlier in outpatient appointment and as reflected in day −195, had normal chloride levels. Saline diuresis was initiated on day 2. Bromide and chloride levels over the next 5 days show a decrease in both values over time. Normal range of chloride and sodium levels are denoted by dashed blue (95-110 mEq) and red (135-145 mEq) lines, respectively. Toxic bromide levels are denoted by dashed black line (5 mEq). The American Journal of Medicine 2010 123, e11-e12DOI: (10.1016/j.amjmed.2009.08.020) Copyright © 2010 Elsevier Inc. Terms and Conditions