Iberti T J, Patterson B K, Fisher C J
Arch Intern Med. 1984 Feb;144(2):402-3.
Bromide intoxication is now a relatively uncommon disease. We describe a critically ill patient who had an elevated chloride level and neurologic abnormalities. Bromide levels were also elevated, and remained so for several days. After more than 12 days of abnormally high serum bromide and chloride levels, endoscopy was performed. This procedure disclosed a gastric bezoar containing identifiable pill fragments. The gastric washings from these fragments contained high levels of bromide. We believe that the prolonged course of bromide intoxication secondary to a gastric bezoar makes this case unique.
溴化物中毒如今是一种相对罕见的疾病。我们描述了一名危重症患者，其氯离子水平升高且伴有神经学异常。溴化物水平也升高，并持续了数天。在血清溴化物和氯离子水平异常升高超过12天后，进行了内镜检查。该检查发现一个胃内有可识别的药丸碎片的胃石。这些碎片的洗胃物中含有高浓度的溴化物。我们认为，继发于胃石的溴化物中毒的病程延长使得该病例具有独特性。
