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February 1984

Prolonged Bromide Intoxication Resulting From a Gastric Bezoar

Author Affiliations

From the Division of Critical Care, Department of Internal Medicine, University of California, Davis, Medical Center, Sacramento. Dr Iberti is now with Falk Intensive Care Unit, Mt Sinai Hospital, City University of New York.

Arch Intern Med. 1984;144(2):402-403. doi:10.1001/archinte.1984.00350140236034

• 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.

(Arch Intern Med 1984;144:402-403)