{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T18:11:34Z","timestamp":1790964694192,"version":"4.1.0"},"reference-count":8,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,1,1]]},"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>A woman in her 40s with a history of depression, diabetes, zinc deficiency and gastric bypass surgery presented to the emergency department following the intentional ingestion of ninety 50\u2009mg tablets of zinc sulfate. She exhibited gastrointestinal distress without systemic toxicity. Imaging revealed radiopaque tablets in the abdomen, and her management was primarily supportive, focusing on symptom control and hydration. Chelating agents were not required as her serum zinc levels remained stable and no severe toxicity developed. This case emphasises the importance of cautious dietary supplement use, particularly in postsurgical patients, and the need for improved education on zinc toxicity risks.<\/jats:p>","DOI":"10.1136\/bcr-2024-263899","type":"journal-article","created":{"date-parts":[[2025,1,19]],"date-time":"2025-01-19T20:50:45Z","timestamp":1737319845000},"page":"e263899","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Acute zinc sulfate overdose: clinical presentation and management"],"prefix":"10.1136","volume":"18","author":[{"given":"Omar","family":"AlDhasee","sequence":"first","affiliation":[{"name":"Emergency Medicine Department, King Abdulaziz Medical City in Riyadh, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanin","family":"AlMalki","sequence":"additional","affiliation":[{"name":"Emergency Medicine Department, Prince Mohammed Bin Abdulaziz Hospital, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4180-1763","authenticated-orcid":false,"given":"Nawaf","family":"AlKharashi","sequence":"additional","affiliation":[{"name":"Emergency Medicine Department, King Abdulaziz Medical City in Riyadh, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nawaf","family":"AlJeraisy","sequence":"additional","affiliation":[{"name":"Emergency Medicine Department, King Abdulaziz Medical City in Riyadh, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad","family":"Al Deeb","sequence":"additional","affiliation":[{"name":"Emergency Medicine Department, King Abdulaziz Medical City in Riyadh, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,1,19]]},"reference":[{"key":"2025082800132373000_18.1.e263899.1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-010-0237-5"},{"key":"2025082800132373000_18.1.e263899.2","doi-asserted-by":"publisher","DOI":"10.3109\/15563659809162595"},{"key":"2025082800132373000_18.1.e263899.3","doi-asserted-by":"publisher","DOI":"10.4065\/77.7.713"},{"key":"2025082800132373000_18.1.e263899.4","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1177\/0748233720944771","article-title":"Toxicity assessment of zinc sulfate: A commonly used compound","volume":"36","author":"Akbaba","year":"2020","journal-title":"Toxicol Ind Health"},{"key":"2025082800132373000_18.1.e263899.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(05)81523-9"},{"key":"2025082800132373000_18.1.e263899.6","unstructured":"Agnew UM , Slesinger TL . Zinc toxicity. In: StatPearls. Treasure Island (FL): StatPearls Publishing, 2022."},{"key":"2025082800132373000_18.1.e263899.7","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.6073.1390"},{"key":"2025082800132373000_18.1.e263899.8","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1970.03170250073021"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-263899","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:13:33Z","timestamp":1756365213000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-263899"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":8,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,1,19]]},"published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1136\/bcr-2024-263899"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-263899","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]}}}