Abstract
Visual disturbances and metabolic acidosis developed in a 40 years old diabetic patient who was admitted to the Pain Clinic due to diabetic neuropathy. Although the patient was transferred to ICU, mechanically ventilated, bicarbonate infused and cardiac support given with inotropes (dopamine, dobutamine, adrenalin), death ensured at the first 24 hours. Postmortem history cleared out the diagnosis that the patient was alcoholic and she attempted to drink cologne twice. So we could diagnose methanol intoxication. Because antidotal treatment is available, it is important to recognize methanol or ethylene glycol poisoning promptly. The use of anion gap and osmolal gap could fasten the diagnosis without specific analyses of toxic alcohols and their metabolites. Prompt institution of specific therapy can probably decrease the morbidity and mortality associated with this form of poisoning.
| Translated title of the contribution | Methanol intoxication in a complicated diabetic patient (Case report) |
|---|---|
| Original language | Turkish |
| Pages (from-to) | 251-253 |
| Number of pages | 3 |
| Journal | Turk Anesteziyoloji ve Reanimasyon |
| Volume | 23 |
| Issue number | 5 |
| State | Published - 1995 |
| Externally published | Yes |
Keywords
- Anion gap
- Metabolic acidosis
- Methanol intoxication
- Osmolal gap
ASJC Scopus subject areas
- Emergency Medicine
- Anesthesiology and Pain Medicine
