A Case Report of Cake Frosting as a Source of Copper Toxicity in a Pediatric Patient

Author:

Tsao Hoi See1,Allister Lauren2,Chiba Takuyo3,Barkley Jonathan4,Goldman Rose5

Affiliation:

1. Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island; Warren Alpert Medical School of Brown University, Department of Pediatrics, Providence, Rhode Island; Brown University School of Public Health, Providence, Rhode Island; Co-first authors

2. Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island; Warren Alpert Medical School of Brown University, Department of Pediatrics, Providence, Rhode Island; Co-first authors

3. Harvard Medical School, Boston Children’s Hospital and the Beth Israel Deaconess Medical Center, Department of Toxicology, Boston, Massachusetts

4. Rhode Island Department of Health, Center for Acute Infectious Disease Epidemiology, Providence, Rhode Island

5. Harvard Medical School, Department of Medicine, Boston, Massachusetts; Harvard T.H. Chan School of Public Health, Department of Environmental Health, Boston, Massachusetts; Cambridge Health Alliance, Division of Occupational and Environmental Medicine, Cambridge, Massachusetts; New England Pediatric Environmental Health Specialty Unit, Boston, Massachusetts

Abstract

Introduction: Copper is an uncommon source of metal toxicity in children that requires a high index of suspicion for diagnosis. Case Report: We describe the unique presentation of a 12-month-old girl who developed acute onset of vomiting and diarrhea after ingestion of a copper-contaminated birthday cake. Conclusion: This case highlights the presentation, evaluation, and management of the rare pediatric patient who presents with copper poisoning. This case also illuminates the public health implications of potential metal poisoning when using non-edible decorative products in homemade and commercially prepared baked goods.

Publisher

Western Journal of Emergency Medicine

Subject

Emergency Nursing,Emergency Medicine

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