TRANSDERMAL METHANOL INTOXICATION VIA FOLK MEDICINE

Yıl 2019, Cilt: 10 Sayı: 2, 50 - 52, 01.04.2019

Sevilay Vural

https://doi.org/10.33706/jemcr.551137

Cited By: 3

Öz

Introduction: Methyl
alcohol (methanol) is an industrial solvent and toxic liquid used in such as
anti-freezes, paint removers, cologne, perfumes and defroster and also it is
the most used denaturant in spirits (methylated spirits) to make it
unconsumable. Even oral route seems to be the only way for poisoning, in rare
cases inhalation and transdermal routes are possible. We present a case report
with transdermal exposure applied according to the folk remedial use of
methylated spirit for analgesic effects.

Case Report:
A thirty-four year old woman was brought to the emergency department by her
relatives with extreme fatigue, vomitting, difficulty in walking and sitting,
rapid breathing and also confusion. Her laboratory tests suggested deep
metobolic acidosis with high anyon gap. She was admitted to intensive care unit
and received hemodialysis. After her treatment, she was fully recovered without
any vision defisit.

Conclusion: Prompt
diagnosis and treatment are the keys to avoid sequels and deaths due to
methanol intoxications by all routes. At least to avoid potential sources,
harmful folk medicine applications are should be defined clearly and
society-based measurements should be implemented.

Anahtar Kelimeler

Methanol, Transdermal, Folk Medicine, Intoxication

Kaynakça

• 1. Soysal D, Yersal Kabayegit O, Yilmaz S, Tatar E, Ozatli T, Yildiz B, et al. Transdermal methanol intoxication: a case report. Acta Anaesthesiol Scand. 2007; 51(6): 779-80.
• 2. Karaduman F, Asil T, Balci K, Temizoz O, Unlu E, Yilmaz A, et al. Bilateral basal ganglionic lesions due to transdermal methanol intoxication. J Clin Neurosci 2009; 16(11): 1504-6.
• 3. Demiray DY, Uluduz D, Goksan B. Transdermal Methyl Alcohol Intoxication: Case Report. The Internet Journal of Toxicology. 2009; 7(2): 1-3.
• 4. Gok E, Horoz M, Turgutalp K, Kıykım A.(Fatal transdermal methanol intoxication: a case report and review of literature) Cilt Yoluyla Gelişen Fatal Metanol Zehirlenmesi: Olgu Sunumu ve Literatür Derlemesi. Turkiye Klinikleri J Med Sci 2011; 31(1): 234-9.
• 5. Tokgoz OS, Guney F, Kamıs U, Paksoy Y. Bilateral Putaminal and Optical Involvement After Low Dose of Methanol Exposure: Case Report. Erciyes Med J 2012; 34(2): 91-4.
• 6. Iscan Y, Coskun Ç, Oner V, Turkcu FM, Tas M, Alakus MF. Bilateral total optic atrophy due to transdermal methanol intoxication. Middle East Afr J Ophthalmol 2013; 20: 92-4.
• 7. Sahin S, Solak S, Akyol O, Vatansever S, Ozyuvaci E. Transdermal methyl alcohol intoxication cause of pain relief. West Indian Med J. 2013; 62(1): 84–6.
• 8. Turmen S, Eryigit U, Sahin A, Mentese S, Gunduz A. An unusual presentation of methanol poisoning. J. Exp. Clin. Med. 2013; 30: 367-8.
• 9. Hizarci B, Erdoğan C, Karaaslan P, Unlukaplan A, Oz H. Transdermal Methyl Alcohol Intoxication: A Case Report. Acta Derm Venereol 2015; 95: 740–1.
• 10. Uca AU, Kozak HH, Altaş M. An undercovered health threat in Turkey: transdermal methanol intoxication. Clin Neuropharmacol. 2015; 38(2): 52-4.
• 11. Sahbudak Bal Z, Can FK, Anil AB, Bal A, Anil M, Gokalp G, et al. A Rare Cause of Metabolic Acidosis: Fatal Transdermal Methanol Intoxication in an Infant. Pediatr Emerg Care. 2016; 32(8): 532-3.
• 12. Koprulu AS, Sener T, Sungar D, Turunc V, Kalfoglu E. Accidental Transdermal Methanol Poisoning: Difficulties and Suggestions: Case Report. Turkiye Klinikleri J Case Rep 2016; 24(1): 89-92.
• 13. Dogan H, Yilmaz Karakus B, Serefoglu Cabuk K, Uzun O, Yenice H, Orucoglu A. Transdermal Spirit (Methanol) Poisoning: A Case Report. Iran Red Crescent Med J. 2016; 18(11): e23767.
• 14. Karaoğlu U, Sarıhan A, Bulut M. A Rare Case of Transdermal Methanol Intoxication. J Emerg Med Case Rep 2017; 8: 52-4.