Document Detail


Cesium toxicity: a case of self-treatment by alternate therapy gone awry.
MedLine Citation:
PMID:  12548155     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cesium salts have been used in animal models to induce cardiac arrhythmias for several decades, but the sequelae of human cesium toxicity have seldom been described. The authors describe a case of cesium toxicity manifested by syncope, polymorphic ventricular tachycardia, hypokalemia, and a QT interval prolonged to 650 milliseconds that resolved over 4 days following withdrawal of cesium. The patient had a 2-year history of colon cancer and had self-treated with cesium chloride, 3 g/d, for several weeks, using cesium as a form of alternate therapy for cancer. The authors describe the pathophysiologic correlates and risks of cesium consumption and conclude that cesium toxicity should be considered among the differential diagnoses of prolonged QT interval.
Authors:
Andrew W Lyon; William J Mayhew
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Therapeutic drug monitoring     Volume:  25     ISSN:  0163-4356     ISO Abbreviation:  Ther Drug Monit     Publication Date:  2003 Feb 
Date Detail:
Created Date:  2003-01-27     Completed Date:  2003-07-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7909660     Medline TA:  Ther Drug Monit     Country:  United States    
Other Details:
Languages:  eng     Pagination:  114-6     Citation Subset:  IM    
Affiliation:
Department of Pathology and Laboratory Medicine, University of Calgary, Alberta, Canada. alyon@ucalgary.ca
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MeSH Terms
Descriptor/Qualifier:
Cesium / toxicity*
Chlorides / toxicity*
Complementary Therapies / adverse effects
Female
Humans
Hypokalemia / chemically induced
Middle Aged
Self Medication / adverse effects*
Tachycardia, Ventricular / chemically induced
Chemical
Reg. No./Substance:
0/Chlorides; 7440-46-2/Cesium; 7647-17-8/cesium chloride

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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