Nitrogen-Phosphorus-Potassium containing liquid fertilizer intoxication presenting with extreme hyperkalemia, metabolic acidosis and ECG changes

Nitrogen-Phosphorus-Potassium containing liquid fertilizer intoxication presenting with extreme hyperkalemia, metabolic acidosis and ECG changes

Case Reports, Volume 22, Issue 3, Pages 109 – 168 (2023) / fertilizer, hyperkalemia, intoxication
Authors contributions +
Authors contributions
PMID: 37746686
https://doi.org/10.52964/AMJA.0952

Liquid fertilizers are widely used for fertilizing in- and outdoor vegetation. Despite the easy accessibility and widespread use, serious intoxications are rare.
This case report describes a 61-year-old woman who was treated for life-threatening hyperkalemia, metabolic acidosis and ECG changes after intentional ingestion of liquid fertilizer. Our case shows that intake of liquid fertilizer, though infrequent, can cause serious, life threatening complications.

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Nitrogen-Phosphorus-Potassium containing liquid fertilizer intoxication presenting with extreme hyperkalemia, metabolic acidosis and ECG changes

23rd September 2023
PMID: 37746686
https://doi.org/10.52964/AMJA.0952
Authors Affiliations
Harm Rendering MD, Department of Emergency Medicine, University Medical Center Utrecht, Utrecht, the Netherlands
Jan Westerink MD PhD, Department of Vascular Medicine, University Medical Center Utrecht, Utrecht, the Netherlands
Douwe Dekker MD PhD, Department of Emergency Medicine, University Medical Center Utrecht, Utrecht, the Netherlands
Dylan W De Lange MD PhD, Dutch Poisons Information Center, University Medical Center Utrecht, University Utrecht, The Netherlands
Karin AH Kaasjager MD PhD, Department of Emergency Medicine, University Medical Center Utrecht, Utrecht, the Netherlands

Nitrogen-Phosphorus-Potassium containing liquid fertilizer intoxication presenting with extreme hyperkalemia, metabolic acidosis and ECG changes

Cite this article as:

Rendering H, Westerink J, Dekker D, De Lange DW, Kaasjager K. Nitrogen-Phosphorus-Potassium containing liquid fertilizer intoxication presenting with extreme hyperkalemia, metabolic acidosis and ECG changes. Acute Med. 2023;22(3):163-164. PMID: 37746686.

Nitrogen-Phosphorus-Potassium containing liquid fertilizer intoxication presenting with extreme hyperkalemia, metabolic acidosis and ECG changes

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