METHANOL POISONING CASE REPORT

被引:2
作者
Kavalci, Cemil [1 ]
Sezenler, Eylem [1 ]
Kavalci, Gulsum [2 ]
Cevik, Yunsur [3 ]
Turan, Mustafa [4 ]
机构
[1] Trakya Univ, Tip Fak, Acil Tip Anabilim Dali, Edirne, Turkey
[2] Trakya Univ, Tip Fak, Anestezyol Reanimasyon Anabilim Dali, Edirne, Turkey
[3] Atatark Egitim Arastirma Hastanesi, Acil Tip Klin, Ankara, Turkey
[4] Edirne Devlet Hastanesi, Edirne, Turkey
来源
JOURNAL OF EMERGENCY MEDICINE CASE REPORTS | 2011年 / 2卷 / 01期
关键词
Emergency; Poisoning; Methanol;
D O I
10.5505/jaemcr.2011.57966
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Methanol intoxication may be cause of severe illness and death. A 26 years old male presented to the emergency department with the complaints of abdominal pain, nausea and blurred vision. It was learned from his history that he took 500 mL of spirit and 200-300 ml of cologne to be well primed with liquor. The patient was accepted as methanol poisoning and 10% ethanol solution was given as 10 ml/kg in % 5 dextrose loading dose, and 1.5 ml/kg every hour infusion. Because of the severe acidosis, 1 m Eq/kg NaHCO3 was given patient and he was taken to dialysis. Fomepizole was given as 15 mg/kg loading dose, and then three times 10 mg/kg every 12 hours was given. The patient was sent to intensive care unit and he was discharged after 6 days by cure.
引用
收藏
页码:14 / 16
页数:3
相关论文
共 9 条
[1]  
Berk WA., 2000, EMERGENCY MED COMPRE, P1103
[2]   Fomepizole: A Critical Assessment of Current Dosing Recommendations [J].
Bestic, Michelle ;
Blackford, Martha ;
Reed, Michael .
JOURNAL OF CLINICAL PHARMACOLOGY, 2009, 49 (02) :130-137
[3]   Fomepizole as a therapeutic strategy in paediatric methanol poisoning. A case report and review of the literature [J].
De Brabander, N ;
Wojciechowski, M ;
De Decker, K ;
De Weerdt, A ;
Jorens, PG .
EUROPEAN JOURNAL OF PEDIATRICS, 2005, 164 (03) :158-161
[4]   Neuroimaging supports the clinical diagnosis of methanol poisoning [J].
Halavaara, J ;
Valanne, L ;
Setälä, K .
NEURORADIOLOGY, 2002, 44 (11) :924-928
[5]   Two cases of acute methanol poisoning partially treated by oral 4-methylpyrazole [J].
Hantson, P ;
Wallemacq, P ;
Brau, M ;
Vanbinst, R ;
Haufroid, V ;
Mahieu, P .
INTENSIVE CARE MEDICINE, 1999, 25 (05) :528-531
[6]   Optic atrophy and cerebral infarcts caused by methanol intoxication: MRI [J].
Hsu, HH ;
Chen, CY ;
Chen, FH ;
Lee, CC ;
Chou, TY ;
Zimmerman, RA .
NEURORADIOLOGY, 1997, 39 (03) :192-194
[7]   Current recommendations for treatment of severe toxic alcohol poisonings [J].
Mégarbane, B ;
Borron, SW ;
Baud, FJ .
INTENSIVE CARE MEDICINE, 2005, 31 (02) :189-195
[8]   Treatment of acute methanol poisoning with fomepizole [J].
Mégarbane, B ;
Borron, SW ;
Trout, H ;
Hantson, P ;
Jaeger, A ;
Krencker, E ;
Bismuth, C ;
Baud, FJ .
INTENSIVE CARE MEDICINE, 2001, 27 (08) :1370-1378
[9]  
Wiener SW, 2006, GOLDFRANKS TOXICOLOG, P1146