The Celobar incident was a pharmaceutical fraud that occurred in Brazil in 2003, and resulted in the death of more than twenty [1] X-ray patients by barium poisoning. [2] [3]
Laboratório Enila was a small Brazilian pharmaceutics manufacturer who made an oral X-ray contrast medium trademarked Celobar. The medium's main ingredient was pharmaceutics-grade barium sulfate (BaSO4) imported from Germany. In 2003, without having the necessary expertise or authorization, they tried to manufacture BaSO4 in-house from much-cheaper technical-grade barium carbonate (BaCO3). They saved US$100. [4]
Non-reacted carbonate and other barium salts that remained in the adulterated product killed nine patients. The first death was Ricardo Diomedes, who had taken Celobar on May 21, 2003, at a clinic in Nova Iguaçu near Rio de Janeiro. A few hours later, he was suffering from vomiting, diarrhea, abdominal pains, and weakness; he died the next day in Nilópolis. Postmortem exams confirmed that barium poisoning was the cause of death. Analysis of the Celobar by the Oswaldo Cruz Institute showed up to 14% unreacted carbonate (the maximum allowed limit being 0.001%). [3] The other eight deaths occurred in the state of Goiás, where most of the contaminated lot had been shipped.
Authorities were warned after the first deaths, recalled the lot, and closed the laboratory, which eventually went bankrupt.
On January 29, 2009, Enila's CEO (Márcio D'Icahahy Câmara Lima), and the chemist who carried out the synthesis (Antônio Carlos Fonseca da Silva) were sentenced to 20 and 22 years in jail, respectively. [2] [3]
Barium is a chemical element; it has symbol Ba and atomic number 56. It is the fifth element in group 2 and is a soft, silvery alkaline earth metal. Because of its high chemical reactivity, barium is never found in nature as a free element.
The alkaline earth metals are six chemical elements in group 2 of the periodic table. They are beryllium (Be), magnesium (Mg), calcium (Ca), strontium (Sr), barium (Ba), and radium (Ra). The elements have very similar properties: they are all shiny, silvery-white, somewhat reactive metals at standard temperature and pressure.
Baryte, barite or barytes ( or ) is a mineral consisting of barium sulfate (BaSO4). Baryte is generally white or colorless, and is the main source of the element barium. The baryte group consists of baryte, celestine (strontium sulfate), anglesite (lead sulfate), and anhydrite (calcium sulfate). Baryte and celestine form a solid solution (Ba,Sr)SO4.
Magnesium sulfate or magnesium sulphate is a chemical compound, a salt with the formula MgSO4, consisting of magnesium cations Mg2+ (20.19% by mass) and sulfate anions SO2−4. It is a white crystalline solid, soluble in water but not in ethanol.
Lead(II) sulfate (PbSO4) is a white solid, which appears white in microcrystalline form. It is also known as fast white, milk white, sulfuric acid lead salt or anglesite.
Zinc sulfate describes a family of inorganic compounds with the formula ZnSO4(H2O)x. All are colorless solids. The most common form includes water of crystallization as the heptahydrate, with the formula ZnSO4·7H2O. As early as the 16th century it was prepared on the large scale, and was historically known as "white vitriol" (the name was used, for example, in 1620s by the collective writing under the pseudonym of Basil Valentine). Zinc sulfate and its hydrates are colourless solids.
Barium sulfate (or sulphate) is the inorganic compound with the chemical formula BaSO4. It is a white crystalline solid that is odorless and insoluble in water. It occurs in nature as the mineral barite, which is the main commercial source of barium and materials prepared from it. Its opaque white appearance and its high density are exploited in its main applications.
Barium oxide, also known as baria, is a white hygroscopic non-flammable compound with the formula BaO. It has a cubic structure and is used in cathode ray tubes, crown glass, and catalysts. It is harmful to human skin and if swallowed in large quantity causes irritation. Excessive quantities of barium oxide may lead to death.
Radiocontrast agents are substances used to enhance the visibility of internal structures in X-ray-based imaging techniques such as computed tomography, projectional radiography, and fluoroscopy. Radiocontrast agents are typically iodine, or more rarely barium sulfate. The contrast agents absorb external X-rays, resulting in decreased exposure on the X-ray detector. This is different from radiopharmaceuticals used in nuclear medicine which emit radiation.
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Strontium carbonate (SrCO3) is the carbonate salt of strontium that has the appearance of a white or grey powder. It occurs in nature as the mineral strontianite.
Strontium sulfate (SrSO4) is the sulfate salt of strontium. It is a white crystalline powder and occurs in nature as the mineral celestine. It is poorly soluble in water to the extent of 1 part in 8,800. It is more soluble in dilute HCl and nitric acid and appreciably soluble in alkali chloride solutions (e.g. sodium chloride).
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Barium ferrate is the chemical compound of formula BaFeO4. This is a rare compound containing iron in the +6 oxidation state. The ferrate(VI) ion has two unpaired electrons, making it paramagnetic. It is isostructural with BaSO4, and contains the tetrahedral [FeO4]2− anion.
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