Death also have color, this time purple; Methanol

Yıl 2020, , 29 - 33, 23.06.2020

Habib Sevimli Hayrullah Yönak , Gökselin Beleli , Hatice Şeyma Akça , Serdar Özdemir , Abdullah Algın , Serkan Emre Eroğlu

https://doi.org/10.33716/bmedj.731266

Cited By: 1

Öz

Introduction: Methanol is a colorless and odorless alcohol type that is toxic by its metabolites and is obtained by distillation of wood.
Case Report: A 64-year-old female patient was admitted to our emergency department with complaints of double vision, difficulty in answering questions and drowsiness. Her extremities had pink-purple hyperemia, suggesting widespread dermatitis in both knees. It was found that dermatitis developed after the patient was applied wrapping from wood alcohol for knee pain, and the patient was diagnosed with methanol poisoning. Upon the disruption of her consciousness, an intubation decision was made and hemodialysis was performed in the anesthesia and reanimation unit of our hospital while the patient was intubated. After 3 days of her hospitalization in the intensive care unit, the patient was exitus with a development of cardiac arrest.
Discussion: We aimed to remind you that in metabolic acidosis cases with increased anion gap, methanol toxicity is a reason that should not be neglected and may be fatal.

Anahtar Kelimeler

methanol, metabolic asidozis, dermatitis

Ölümün De Rengi Var, Bu Sefer Mor; Metanol

Öz

Giriş: Metanol, metabolitleri tarafından toksik olan ve ahşabın damıtılmasıyla elde edilen renksiz, kokusuz bir alkol türüdür.
Olgu: 64 yaşında kadın hasta, son bir aydır çift görme, denge kaybı ve 2 hafta boyunca beslenme kaybı, başvuru günü ise uyuşukluk ile ilgili soruları cevaplamada güçlük şikayetleri ile acil servisimize başvurdu. Ekstremitelerinde pembe-mor hiperemi vardı ve her iki dizde de yaygın dermatit düşünüldü. Hikâyede diz ağrısı için odun alkolünün topikal olarak uygulandıktan sonra dizlerde dermatit geliştiği öğrenildi ve hastaya metanol zehirlenmesi teşhisi kondu. Bilincin bozulması üzerine entübasyon kararı verildi ve hastanemizin anestezi ve reanimasyon ünitesinde entübe olarak hemodiyaliz yapıldı. Yoğun bakım ünitesine yatışından 3 gün sonra kardiyak arrest gelişti ve hasta ex oldu.
Tartışma: Anyon boşluğu artmış metabolik asidoz vakalarında, nedeni açıklanamayan, metanol toksisitesinin ihmal edilmemesi ve bu durumun ölümcül olabilmesini hatırlatmayı amaçladık.

Anahtar Kelimeler

Metanol, metabolik asidoz, dermatit

Kaynakça

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