Digital Health Crisis: Patient's AI-Guided Salt Substitution Triggers Rare Victorian-Era Psychiatric Syndrome as Thailand Confronts Sodium Reduction Challenges
A shocking clinical case report reveals how a 60-year-old man developed bromism—an archaic psychiatric syndrome rarely documented since the early 20th century—after replacing table salt with industrial sodium bromide based on information he claimed to receive from artificial intelligence chatbot consultation. The extraordinary case, published in Annals of Internal Medicine: Clinical Cases, underscores profound dangers of utilizing unvetted AI advice for health decisions while arriving at a critical juncture as Thailand accelerates population-wide salt reduction efforts to combat hypertension and cardiovascular disease. Medical investigators documented that the patient mistakenly treated a chemical compound used for cleaning and pool maintenance as if it were safe dietary replacement, leading to severe psychosis, emergency hospitalization, and weeks-long treatment for life-threatening bromide toxicity. This unprecedented case has triggered global debates over AI safety protocols in consumer healthcare while highlighting practical, safer pathways Thai families can pursue for sodium reduction without risking catastrophic health consequences according to Annals of Internal Medicine case documentation, 404 Media investigative reporting, and Ars Technica expert analysis.