Limitations of Chloride Determination in the Diagnosis of Bromism
- 12 September 1968
- journal article
- Published by Massachusetts Medical Society in New England Journal of Medicine
- Vol. 279 (11) , 593-595
- https://doi.org/10.1056/nejm196809122791107
Abstract
AN apparently elevated serum chloride level is recognized as a clue to significant bromism, but this phenomenon occurs with only one of two common methods of chloride determination.Case HistoryA 35-year-old man had polyuria, polydipsia, increased anxiety and somnolence that necessitated admission to a hospital. Physical examination and laboratory tests were within normal limits. Psychotic behavior and persistent fever prompted transfer to the Clinical Center for evaluation. A history of ingestion of a preparation containing sodium, potassium and ammonium bromide* was obtained. It was estimated that he had ingested 1060 mEq of bromide during the week before admission. The . . .Keywords
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