Non-accidental salt poisoning

Wallace, Dean; Lichtarowicz-Krynska, Ewa; Böckenhauer, Detlef

doi:10.1136/archdischild-2016-310437

Cited by 8 publications

(23 citation statements)

References 14 publications

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“…It is likely that the actual number of cases is higher because of missed diagnoses. 2,3 In addition, it is reasonable to assume that not all cases of salt toxicity are published. The patients described in the case reports ranged in age from 5 days to 73 years.…”

Section: Discussion Of Case Reportsmentioning

confidence: 99%

“…Although thought to be rare, the true incidence of salt toxicity is unknown because the diagnosis is likely missed in some cases. 2,3 Clearly, salt toxicity is a dangerous condition capable of causing significant neurological injury. For example, mortality was greater than 50% in a review of 30 salt toxicity cases that included children and adults.…”

Section: Problemmentioning

confidence: 99%

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Salt Toxicity: A Systematic Review and Case Reports

Metheny¹,

Krieger²

2020

Journal of Emergency Nursing

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The current literature on acute salt toxicity indicates that the condition is rare; however, it is associated with high morbidity and mortality. This article contributes the finding that early recognition and treatment of acute salt toxicity can be lifesaving. Key implications for emergency nursing practice found in this article are being aware that salt poisoning by caregivers is 1 of the more common forms of child abuse; therefore, it is important to consider the possibility of salt toxicity when a child is admitted with unexplained hypernatremia. In addition, close monitoring of intravenous fluid replacement and plasma sodium concentrations is vital during the treatment of acute salt toxicity.

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Section: Discussion Of Case Reportsmentioning

confidence: 99%

Section: Problemmentioning

confidence: 99%

Salt Toxicity: A Systematic Review and Case Reports

Metheny¹,

Krieger²

2020

Journal of Emergency Nursing

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“…Repeated episodes of severe hypernatraemia should raise suspicion of deliberate salt poisoning. In the two cases reported, forensic analysis found extraordinarily high sodium levels in a milk feed and in a tin of powdered milk . Although rare, deliberate salt poisoning is life‐threatening and, if suspected, obligates the involvement of child protection.…”

mentioning

confidence: 95%

“…It can be difficult to distinguish biochemically between hypernatraemic dehydration and non‐accidental salt poisoning. The latter is very rarely reported (about 1 in 10 million UK children annually), possibly due to under‐diagnosis . A UK paper describes two cases of presumed deliberate salt poisoning .…”

mentioning

confidence: 99%