TREATMENT OF SEVERE THALLIUM INTOXICATION

Case Report: We report a successfully treated case of severe thallium intoxication. In spite of very high serum thallium (5,240 mu g/L), sym ptomatology was minor and recovery complete. Prussian Blue was adminis tered, diuresis was enhanced by intravenous fluids and a prolonged hem odialysis was started early. High blood flows (300 mL/min) and intrave nous potassium chloride supplements, to mobilize thallium from the tis sues, resulted in good clearances (96 to 150 mL/min). In order to prev ent the well known complications, we recommend aggressive treatment of severe thallium intoxication.