Liver Transplantation for Acute Hepatic Failure Following Intentional Iron Overdose

The majority of acute iron toxicity cases occur in young children from accidental ingestion. In adults, iron poisoning is rare and mostly due to intentional ingestion. Physicians, particularly those who do not routinely treat pediatric patients, are often unfamiliar with the clinical manifestation o...

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Bibliographic Details
Published in:Cureus 2023, Vol.15 (11), p.e48392-e48392
Main Authors: Eça, Rosário, Ferreira, Sofia, Gandara, Judit, Pessegueiro, Helena, Daniel, Jorge
Format: Report
Language:English
Online Access:Get full text
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Summary:The majority of acute iron toxicity cases occur in young children from accidental ingestion. In adults, iron poisoning is rare and mostly due to intentional ingestion. Physicians, particularly those who do not routinely treat pediatric patients, are often unfamiliar with the clinical manifestation of iron poisoning, its management, and its potential for multiple organ failure, especially liver damage. Severe acute hepatotoxicity treated with liver transplantation is rare in adults, with very limited published literature. We report a case of a severe iron tablet overdose with suicidal intent that progressed to fulminant hepatic failure despite medical treatment, ultimately treated with liver transplantation.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.48392