Severe Hemolysis in Pediatric Case after Ingestion of Miracle Mineral Solution (TM)

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Introduction: Over the past decade, Miracle Mineral Solution (sodium chlorite) has been promoted as a cure-all for many conditions. Case report: A 9-year-old boy presented with his brother after they accidentally ingested a small amount of undiluted 22.4% sodium chlorite. Symptoms included nausea, vomiting, diarrhea, and dyspnea. Oxygen saturation remained 71% despite supplemental oxygen (15L/min). The patient was noted to have dark chocolate-appearing blood, minimal urine output, diffuse pallor and cyanosis. He developed methemoglobinemia, renal failure requiring renal replacement therapy and hemolysis requiring blood transfusion. Discussion: These are the 7th and 8th reported cases of sodium chlorite toxicity by ingestion and the second and third in children. Takeaway for Physicians: Miracle Mineral Solution is a commonly purchased potentially lethal compound that can cause methemoglobinemia with respiratory failure, hemolytic anemia requiring transfusion and renal failure requiring dialysis.
Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by deficits in social communication abilities, restricted and repetitive behaviors and interests, and sensory abnormalities. Before selecting an appropriate intervention for individuals with ASD, there are many considerations that need to be taken into account including the level of intellectual functioning, the severity of ASD symptoms, and the presence of any comorbid disorders, both medical and psychological. This chapter discusses the history of ASD and the importance of early intervention in working with population. Additionally, many of the popular and prominent interventions available for individuals with ASD are reviewed in regard to their empirical support, ranging from empirically validated interventions to those with less empirical support. Overall, the treatment of individuals with ASD is a complicated task. However, through the use of empirically validated interventions combined with careful treatment planning, improving the lives of those affected by ASD can be a highly rewarding endeavor.
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