Unintentional boric acid exposure: a case report and boron level monitoring
This case highlights the potential for accidental BA ingestion in children and emphasizes the importance of prompt recognition and supportive treatment with intravenous fluids. While blood boron levels can confirm exposure and elimination, correlation with clinical manifestations requires further study. Ingestion of BA doses exceeding 3 g warrants immediate hyperhydration and monitoring. BA is readily absorbed, with renal excretion being the primary route of elimination. Prompt hydration is crucial. A one-month follow-up with clinical evaluation and renal function tests appears sufficient for asymptomatic patients. Further research is needed to better define the toxic dose of BA and its clinical correlation.
Authors
- Carla Debbia
- Azzurra Schicchi (ORCID: https://orcid.org/0000-0002-5017-8750)
- Giordano Spacco (ORCID: https://orcid.org/0009-0001-9889-5409)
- A. Ronchi (ORCID: https://orcid.org/0000-0003-0907-3460)
- Emanuela Piccotti (ORCID: https://orcid.org/0000-0002-1569-0222)
- Valeria Margherita Petrolini (ORCID: https://orcid.org/0000-0002-4538-6993)
- Lucia Bernasconi (ORCID: https://orcid.org/0000-0002-9173-5859)
Institutions
- Istituto Giannina Gaslini (IT)
- Istituti Clinici Scientifici Maugeri (IT)
- University of Genoa (IT)
Publication Details
- Journal
- BMC Pediatrics
- Published
- 2025-10-21
- DOI
- https://doi.org/10.1186/s12887-025-06254-8
- Primary Topic
- Poisoning and overdose treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00