https://doi.org/10.4081/ecj.2026.14730
Ventricular fibrillation following accidental ingestion of aluminum cleaner containing hydrogen fluoride and sulfuric acid
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Published: 13 May 2026
Hydrogen Fluoride (HF) and sulfuric acid (H2SO4) are commonly used in household and commercial cleaning products but can pose significant health risks when managed improperly. This case report details the clinical management of a 53-year-old female who accidentally ingested an aluminum wheel cleaner containing HF and H2SO4. Despite initially spitting out the substance, she developed blood-tinged emesis, a brief syncopal episode, hypotension, and electrolyte disturbances. Despite prompt fluid resuscitation and electrolyte repletion, the patient experienced ventricular fibrillation approximately 9 hours after ingestion. Immediate chest compressions, defibrillation, and administration of calcium chloride restored normal rhythm without subsequent symptom recurrence. The case highlights the lethal potential of even minimal HF exposure and underscores the need for aggressive early intervention and close monitoring. In doing so, dispositions and outcomes for such patients may be improved.
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