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.

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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
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article

Unintentional boric acid exposure: a case report and boron level monitoring

Carla Debbia, Azzurra Schicchi, Giordano Spacco, A. Ronchi et al.
BMC Pediatrics
Poisoning and overdose treatments
article

Unintentional boric acid exposure: a case report and boron level monitoring

Carla Debbia, Azzurra Schicchi, Giordano Spacco, A. Ronchi, Emanuela Piccotti, Valeria Margherita Petrolini, Lucia Bernasconi
article en

Abstract

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.

BMC PediatricsVol. 25(1)
Istituto Giannina Gaslini (IT), Istituti Clinici Scientifici Maugeri (IT), University of Genoa (IT)
Openalex Percentile: Top 56%
Poisoning and overdose treatments
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Unintentional boric acid exposure: a case report and boron level monitoring — Carla Debbia, Azzurra Schicchi, et al. · BMC Pediatrics (2025) | TGRS Research Map | TGRS