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      Hypermagnesemia-induced fatality following epsom salt gargles(1).

      The Journal of emergency medicine

      Adult, Blood Chemical Analysis, Coma, etiology, Fatal Outcome, Female, Halitosis, drug therapy, Humans, Magnesium, blood, Magnesium Sulfate, poisoning, Nonprescription Drugs, diagnosis, Poisoning, complications

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          Abstract

          Hypermagnesemia is a rare cause of coma in a patient with normal renal function. When present, it is often because of iatrogenic medication overdose. We report a fatal case of chronic Epsom salt gargles for halitosis that produced a serum magnesium of 23.6 mg/dL (9.8 mmol/L) and resulted in coma. We review the wide presentation of hypermagnesemia from subtle neurologic and cardiovascular signs to the major life-threatening clinical manifestations of shock, dysrhythmias, coma, and cardiopulmonary arrest despite emergency dialysis.

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          11858925

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