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Tuberc Respir Dis. 2002 Aug;53(2):234-237. Korean. Case Report. https://doi.org/10.4046/trd.2002.53.2.234
Kim WJ , Park YH , Kim EK , Lim CM , Koh YS .
Division of Pulmonary and Critical Care Medicine, Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. yskoh@amc.seoul.kr
Division of Pharmacy, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Abstract

A 77-year-old female was admitted 3 hours after intentionally ingesting 5 g of aluminum ammonium sulfate ('Alum') powder dissolved in water. Gastric lavage with normal saline, activated charcoal chelation, and supportive therapies were performed. She showed a high anion gap metabolic acidosis, which rapidly progressed to multiple organ failure including ARDS. The patient subsequently progressed to a refractory shock which eventually led to death.

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