Calcium polysulfide overdose

A report of two cases

B (Zane) Horowitz, Kathy Marquardt, Emilie Swenson

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Background: Calcium polysulfide or lime-sulfur solution is a common agricultural product used as a fungicide. Despite its easy availability, only two prior cases of intentional ingestion, both from Japan, have been reported in the literature. Case Reports: Two cases of calcium polysulfide ingestion are presented. In the first case severe acidosis, coma and cardiac arrest occurred. Despite aggressive supportive therapy, the patient expired, Autopsy examination revealed hemorrhagic necrosis of the gastric mucosa. The second patient also exhibited altered mental status and metabolic acidosis. He experienced liver dysfunction, rhabdomyolysis, renal dysfunction, and aspiration pneumonia. He had endoscopically proven esophageal and gastric mucosal burns which developed into esophageal strictures. Conclusions: Calcium polysulfide ingestions cause direct caustic injury to the upper gastrointestinal tract, coma and severe metabolic acidosis.

Original languageEnglish (US)
Pages (from-to)299-303
Number of pages5
JournalJournal of Toxicology - Clinical Toxicology
Volume35
Issue number3
StatePublished - 1997
Externally publishedYes

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Acidosis
Eating
Coma
Agricultural products
Fungicides
Aspiration Pneumonia
Esophageal Stenosis
Caustics
Rhabdomyolysis
Upper Gastrointestinal Tract
Gastric Mucosa
Heart Arrest
Burns
Liver
Liver Diseases
Autopsy
Stomach
Japan
Necrosis
Availability

ASJC Scopus subject areas

  • Toxicology
  • Health, Toxicology and Mutagenesis

Cite this

Calcium polysulfide overdose : A report of two cases. / Horowitz, B (Zane); Marquardt, Kathy; Swenson, Emilie.

In: Journal of Toxicology - Clinical Toxicology, Vol. 35, No. 3, 1997, p. 299-303.

Research output: Contribution to journalArticle

Horowitz, B (Zane) ; Marquardt, Kathy ; Swenson, Emilie. / Calcium polysulfide overdose : A report of two cases. In: Journal of Toxicology - Clinical Toxicology. 1997 ; Vol. 35, No. 3. pp. 299-303.
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