Published online July 1, 2005
PEDIATRICS Vol. 116 No. 2 August 2005, pp. e319-e321 (doi:10.1542/peds.2005-0172)
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ELECTRONIC ARTICLE

Acute Tellurium Toxicity From Ingestion of Metal-Oxidizing Solutions

Mark C. Yarema, MD*,{ddagger} and Steven C. Curry, MD*,{ddagger},§

* Department of Medical Toxicology, Banner Good Samaritan Medical Center, Phoenix, Arizona
{ddagger} Department of Emergency Medicine, Maricopa Medical Center, Phoenix, Arizona
§ University of Arizona College of Medicine, Phoenix, Arizona

Tellurium is an element used in the vulcanization of rubber and in metal-oxidizing solutions to blacken or tarnish metals. Descriptions of human toxicity from tellurium ingestion are rare. We report the clinical course of 2 children who ingested metal-oxidizing solutions containing substantial concentrations of tellurium. Clinical features included vomiting, black discoloration of the oral mucosa, and a garlic odor to the breath. One patient developed corrosive injury to the esophagus secondary to the high concentration of hydrochloric acid in the solution. Both patients recovered without serious sequelae, which is typical of tellurium toxicity. An awareness of situations in which children may be exposed to tellurium and its clinical presentation may assist clinicians in the diagnosis of this rare poisoning.

Key Words: tellurium • child • poisoning • metals • garlic

Abbreviations: HR, heart rate • RR, respiratory rate • BP, blood pressure

Accepted Feb 28, 2005.