Salt Toxicity: A Systematic Review and Case Reports. Doctors were able to bring his level down, but never understood how it had gotten so high. Lacey liked to tell the story that Garnetts father was a local deputy in the Morgan County Sheriffs Department. Rae Uddin has worked as a freelance writer and editor since 2004. Its mission is to care for its elderly residents. Some lady from her church comes up and was like, Oh, thats Cameron. These may include: non-acidic fruits like bananas, melons, and figs. Nat Rev Gastroenterol Hepatol. I took care of elderly people, said Spears. Torn blood vessels and fluid build up in the brain cause seizures and coma. During a search of Spears' home, police seized more than 150 items, including a bottle of sea salt. Conclusion: After reviewing instances of resuscitation following salt intoxication, aggressive rapid correction of There is pain in the stomach and intestines. J Emerg Nurs. A surgically implanted feeding tube is an avenue of chaos. Dr. Ivan Darenkov, a pediatric gastroenterologist, saw Garnett for five visits over a period of several months in 2013, treating him for stomach ailments and to check on his G-tube. 6 Keep in mind that breast milk and formula also contain sodium. We lived in the very same apartment complex, she explained. Hannah Overton, a south Texas mother of five whose wrongful conviction for the 2006 death of her foster son was overturned last year, is expected to receive over $500,000 in compensation from the state for the years she spent in jail. We report this case of pediatric salt poisoning due to chronic craving for table salt. capable of causing significant neurological injury; quick recogition spaces; this process is particularly dangerous in brain cells. It is a small thing for one who has suffered so greatly.". It is difficult An elevated blood pressure means that your child's heart needs to exert more force to push blood through his body. This defendant had two feeding bags loaded with salt in her house. He just went around opening everyones hearts, Plauche continued. While Absolutely. short period of time, such as minutes to hours [2,7,8]. serum sodium concentration may prevent irreversible neurological I could never thank my attorneys enough for fighting endlessly to prove my innocence and bring me home.. ratio was 41. Salt poisoning: Who is at risk? BUN/Creatinine Sakai Y, Kato M, Okada T, Sagata Y, Goh R, Kohyama A, Sumitomo M. Wallace D, Lichtarowicz-Krynska E, Bockenhauer D. Arch Dis Child. Your child may develop seizures from too much salt in the bloodstream, the Merck Manuals Online Medical Library explains 2. You didnt poison your son with salt? Roberts asked Spears. Then why is his sodium level so high? Roberts asked. neurological complications were noted. His name was Blake and that Blake was a hero that he had died in a car crash, said Coker. If left undetected or unresolved, persistently high salt levels may elevate his risk of developing breathing difficulties, brain swelling, kidney damage or heart failure. Symptoms of heavy metal poisoning can be life threatening and they can cause irreversible damage. I wanted my son to be healthy.. She now had second thoughts about disposing of the bag, so she brought it home. And what was he suffering from. Seizures. I didnt want Garnett to have the stigmatism that his father was a deadbeat.. He would go for an extended period of time where he just simply wouldnt take anything by mouth and so we used his G-tube as he got older for supplemental feeds only when he needed to be nourished.. Epub 2021 Nov 11. of salt toxicity and aggressive resuscitative measures are critical in the treatment of this lethal poisoning. Pizza and drinks, said Lynch. Get browser notifications for breaking news, live events, and exclusive reporting. That was my mantra every time we would meet.. The video shows him being the healthy kid he could be, if his mother would leave him alone, Westchester County Assistant District Attorney Patricia Murphy told the court. Seizures may result in uncontrolled muscle spasms or brief lapses of consciousness. Garnett would eat and then he would just stop eating. A video EEG was set up using a special cap on his head, wired to a machine that monitors brain activity. kg H2O. Burnham, a single mom at the time, was relieved to have help with her son. PMC Appeal Denied for Mom Convicted of Murder - ABC News Adding to suspicion, Spears had been searching on the internet about high sodium levels. Spears learned, from a friend, about an alternative community located an hour outside of New York City, called the Fellowship. Salt toxicity is a rare form of hypernatremia that typically occurs after a single massive ingestion of salt over a short period of time (minutes/hours). The thought of this being a death by a loving mother was difficult to swallow. I strongly believe that there was insufficient evidence to -- convict her of murder -- depraved indifference murder in this case, said Riebling. He says he also asked Spears for Garnetts previous medical records, which he never received. We also consider diabetes insipidus but There was no history of diarrhea or vomiting. Tremor. Garnetts temperature went down and he seemed better, but then several days later his condition worsened. 8600 Rockville Pike . And they all agree. Thats what every mother wants to hear. World J Gastroenterol. from the cells, the brain cells pump in electrolytes and endogenous Serum osmolality and hyperosmolar states. They had a very loving relationship. to distinguish salt toxicity from hypernatremia due to excessive hypotonic intravenous fluids and target should reduce the sodium Plauche, the neighbor at the Fellowship, wanted to help Spears through this unimaginable time and had been in contact with her the day after Garnett was pronounced brain dead. Two-and-a-half hours later, Garnett was airlifted to Westchesters Maria Fareri Childrens Hospital. And it was just so completely devastating, said Valerie Plauche. The most important aspect is to actually consider this diagnosis, given its rarity and the severe medical and social consequences associated with it, since parents and carers suddenly become suspects to be confronted with the possibility of having . Journal of Gastroenterology and Hepatology. Did she seem like a good mother to you? Roberts asked. J Clin Toxicol. He spent more time in the hospital than he spent at home, Spears told Roberts. And to be told that I was found guilty of murdering my own son, there are no words to describe that.. Salt toxicity is a rare form of hypernatremia that Budnick added. Urinary electrolytes She would not say yes, she would not say no, he explained. The consequence is the strongest swelling of tissues, internal organs. frequently and fatal hypernatremia solely from ingestion of table toxicity is attributed generally to osmotic fluid shifts, Blohm et al. I made sure he had adequate medical history. In fact, when you watch it, it has just the opposite effect. For patients whose massive exposure It is up to Spears lawyers, not the prosecution, to raise a psychiatric defense and her attorneys contend this is not about Lacey, but about the hospital not giving Garnett proper medical care. toxicity has been present for less than 24 hours, because brains Lead poisoning symptoms in adults. The serum magnesium 0.96 mmol/l, BUN 8.2 mmol/l; creatinine, Hypernatremia in children Appointments & Locations. They Larry Overton was also charged with murder, but after his wife's conviction, he was offered a plea deal and was given probation. Recurrent bouts of diarrhea may result in the loss of too much fluid from your child's body, which may cause dehydration. I do not have Munchausen by proxy. The red flags in this case and for me in any case of medical child abuse is when the story does not fit what you see. R56 DA038366/DA/NIDA NIH HHS/United States. The detectives recovered that bag and returned to Spears apartment, taking the feeding bag in the garbage they had left nearly two days earlier. She asked me to go to her apartment and take the feeding bag off the stand and dispose of it, said Plauche. So when a mother presents symptoms, that when you see the child dont make sense -- lab levels that dont make sense A mother that says my child will not feed we see evidence that the child will feed, she explained. According to Overtons attorney, Cynthia Orr, the Texas comptroller told Overton on Tuesday that she would receive a check for $573,333.33 as compensation her for her wrongful incarceration. It was exchanged between a multitude of hands before the police got it 48 hours after the bag had been taken from my home, said Spears. This is my 5-year-old son on life support.. [3] Early symptoms may include a strong feeling of thirst, weakness, nausea, and loss of appetite. A statement released by family members recalled the joy the infant had brought her loved ones. I did not hurt my son. I took him to the pediatrician who said, You know, I cant figure out anything thats going on with him, but were gonna watch him said Spears. One does not have to be a psychologist to realize you suffer from a mental illness, known as Munchausen by proxy, Judge Robert Neary addressed Spears. where toxicity may have been, in part, related to co-ingested e.g. There was no history of diarrhea or vomiting. Uddin earned her Master of Science in integrated biomedical sciences with an emphasis in molecular and cellular biochemistry from the University of Kentucky College of Medicine. He was not having any underlying medical condition before, except moderate language delay. I trusted her, cause Im not gonna leave my kid with somebody that you dont trust, she said. Lacey Spears speaks out for the first time in an interview with "48 Hours" correspondent Troy Roberts. 2017;1(1):199-215. doi:10.1080/24740527.2017.1399053. The amounts of sodium that were in those bags were lethal, said Westchester County Det. Two cases studies illustrate recommended techniques to enhance history I did, she replied. They speculated Andrew might have had pica, an eating disorder characterized by an obsessive appetite and that Andrew accidentally poisoned himself by consuming a fatal amount of sodium. She didnt use a household cleaner or pop open a bottle of pain medication, police told NBC affiliate WYFF. Although brain injury in salt I feel like if we would have saw the signs, we could have helped Lacey and helped Garnett, Shawna Lynch said. With history, physical Disclaimer. The evidence will show and convince you that this defendant took her son into that bathroom and poisoned him with salt in his G-tube. mmol/L. He loved it. Absolutely healthy boy, he replied. And there seemed to be only one suspect: Lacey Spears. were adding one teaspoon of salt to his meals 2-3 times per day for What to Give a Child for Upset Stomach and Vomiting - Healthline It refers to high levels of sodium in the blood, which draws water out of the cells. Published 2018 May 10. doi:10.1136/bmjopen-2017-021066, Chuong KH, Haw J, Stintzi A, Mack DR, ODoherty KC. Overgaard-Steensen C, Poorisrisak P, Heiring C, Schmidt LS, Voldby A, Hi-Hansen C, Langkilde A, Sterns RH. Hypernatremia is a A 4-Year-Old Boy Died From Salt Poisoning But What Is It? At least 97 percent of children and adolescents take in too much sodium, which may also cause a significant increase in your child's blood pressure, according to the American Heart Association 1. He was in and out of the hospital for the first nine weeks of his life and afterwards, she said. Dry mouth. ingestion. The defense, however, questions where the salt or syringe would come from. Garnetts biological father was Chris Hill, she replied. Hannah Overton recently reunited with her husband, Larry Overton, since being released on bond last week. An investigation, involving Detective Carfi and Ramapo detectives Kirk Budnick and Greg Dunn, was immediately under way. She wanted to spend more time with us, bringing us people to interview, Det. If youre going to do something as the prosecution alleged, thats as devious and is as sophisticated of having to connect a tube to his abdomen, to have to then pour a fluid down this tube to poison him Youre gonna do it with the door open? Consultation of nephrology and child protection services are strongly recommended in the comprehensive treatment approach. They say this goes back years, how youve tried to hurt your son for years, Roberts noted to Spears. Beginning next year, she will also receive an annuity. develop acute kidney injury and oliguria; in such patients, dialysis Those cases were all investigated and closed, saying neglect was unsubstantiated. osmolality was 390 mOsmole/kg. eCollection 2022 Dec. Pediatr Nephrol. Dr. Darenkov grew frustrated. Severe Hypernatremia in a Significantly Underweight Female Child. 2013;25(12):1478-1483. doi:10.1097/meg.0b013e328365abd3, Gulewitsch MD, Mller J, Enck P, Weimer K, Schwille-Kiuntke J, Schlarb AA. Sometimes when maybe a doctors getting a little too close to figuring out whats going on, we might see a move to another doctor, said Dr. Sanders. Nyack Hospital denied 48 Hours requests to comment on the case. No amount of money will ever bring back the years that were taken away, and the seven years of freedom I lost. Overall 0.04% hospital stays had an episode of hypernatraemia. Salt poisoning: symptoms, treatment From choosing baby's name to helping a teenager choose a college, you'll make . I was like, Wow!. Hydration status was normal. BMJ Open. For manyofthe children the non-accidental poisoning is part ofMunchausen syndrome by proxy child abuse.78 During the past 15 years, nearly 300suchcaseshavebeenreferredto, and studiedby,theauthor.Altogether20-25%ofthe childrenhaveincurrednon-accidentalpoisoning aspartofthefactitious illness abuse. You know they were hopeful that within time, he wouldnt have so much problems eating, she replied. Her work has appeared in various online publications. patient was conscious he was allowed to take orally specially water. But that suspicion did not get acted upon; nor did other irregularities found during the investigation. That evaluation was done after Garnetts death. Over time, high blood pressure may damage your child's heart muscle and can increase his risk of developing heart disease as an adult. Morning Mix Police: Mom poisoned her baby with teaspoon of salt to get husband 'back into her life' By Peter Holley August 6, 2016 at 11:20 a.m. EDT Police accuse Kimberly Martines, 23, of.
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