Metabolic Acidosis after Sulfur Ingestion

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Abstract
Elemental sulfur is widely used as a folk remedy. Usually combined with a sweet syrup or molasses, it has internal uses that include intestinal "spring-cleaning," treatment for dyspnea and as a "tonic."1 Although of doubtful benefit, sulfur is generally held to be harmless. In the following case metabolic acidosis was apparently caused by sulfur.Case ReportA 57-year-old black woman was admitted to the hospital for lethargy and confusion of two days' duration. At home, she had complained of malaise and intermittent mild dyspnea. She consulted her mother, who advised sulfur. The patient began nibbling flowers of sulfur, USP (sublimed . . .

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