Bismuth Subsalicylate

animal ◽  
2021 ◽  
Vol 15 (5) ◽  
pp. 100195
Author(s):  
D.D. Henry ◽  
F.M. Ciriaco ◽  
R.C. Araujo ◽  
M.E. Garcia-Ascolani ◽  
P.L.P. Fontes ◽  
...  

2020 ◽  
Vol 13 (11) ◽  
pp. e236929
Author(s):  
Sheliza Halani ◽  
Peter E Wu

A 79-year-old man presented to the emergency department with a 1-week history of worsening confusion, falls and hearing impairment. An initial workup for infectious, metabolic and structural causes was unrevealing. However, further history discovered that he had been ingesting one to two bottles of Pepto-Bismol (bismuth subsalicylate) daily for gastro-oesophageal reflux symptoms. On his second day of admission, the plasma salicylate concentration was 2.08 mmol/L (reference range 1.10–2.20 mmol/L), despite no sources of salicylate in hospital. He was diagnosed with chronic salicylate toxicity and Pepto-Bismol use was discontinued. The patient was treated supportively with isotonic intravenous fluids only and plasma salicylate concentration fell to less than 0.36 mmol/L. Concurrently, all his symptoms resolved. This case highlights the potential adverse effects of over-the-counter medications. The diagnosis of chronic salicylate toxicity is challenging, specifically in the elderly and in undifferentiated presentations, as it can be missed if not suspected.


1990 ◽  
Vol 12 (Supplement_1) ◽  
pp. S57-S58 ◽  
Author(s):  
Te-Wen Chang ◽  
Mei-Yan Dong ◽  
Sherwood L. Gorbach

2011 ◽  
Vol 50 (34) ◽  
pp. 7858-7861 ◽  
Author(s):  
Vânia André ◽  
Andrew Hardeman ◽  
Ivan Halasz ◽  
Robin S. Stein ◽  
Graham J. Jackson ◽  
...  

1997 ◽  
Vol 37 (3) ◽  
pp. 489-490 ◽  
Author(s):  
Ramón Ruiz-Maldonado ◽  
José Contreras-Ruiz ◽  
Adolfo Sierra-Santoyo ◽  
Eduardo López-Corella ◽  
Amparo Guevara-Flores

Sign in / Sign up

Export Citation Format

Share Document