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

Md Phd, Dutch Poisons Information Center, University Medical Center Utrecht, University Utrecht, The Netherlands ,Md, Department Of Emergency Medicine, University Medical Center Utrecht, Utrecht, The Netherlands ,Douwe Dekker,Md Phd, Department Of Emergency Medicine, University Medical Center Utrecht, Utrecht, The Netherlands ,Md Phd, Department Of Emergency Medicine, University Medical Center Utrecht, Utrecht, The Netherlands ,Karin AH Kaasjager,Dylan W De Lange,Harm Rendering,Md Phd, Department Of Vascular Medicine, University Medical Center Utrecht, Utrecht, The Netherlands ,Jan Westerink

doi:10.52964/amja.0952

Md Phd, Dutch Poisons Information Center, University Medical Center Utrecht, University Utrecht, The Netherlands , Md, Department Of Emergency Medicine, University Medical Center Utrecht, Utrecht, The Netherlands + Show 8 more

https://doi.org/10.52964/amja.0952

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Journal: Acute Medicine Journal

Publication Date: Jul 1, 2023

Abstract

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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