Methanol Intoxication and High D-Dimer Levels

Öz

Methanol is very similar to ethyl alcohol in terms of color, odor and consistency. Methanol intoxication is generally caused by oral intake of illegally produced fake drinks prepared by replacing ethanol with methanol. Abdominal pain, nausea, and vomiting,visual disturbances, headache, severe metabolic acidosis, vision loss, cardiovascular instability and death may develop in methanol intoxication. Severe metabolic acidosis is the most important cause of mortality. But a D-dimer elevation is not reported primarily due to methanol intoxication in the literatüre. In this case, the severe metabolic acidosis that develops will be pointed out by reminding the findings of methanol intoxication and the unexpected and persistent D-dimer elevation despite the normal clinical and laboratory status will be shared.

Anahtar Kelimeler

• Methanol intoxication
• metabolic acidosis
• D-dimer levels

Metanol Zehirlenmesi ve Yüksek D-Dimer Seviyeleri

Öz

Metanol, renk, koku ve kıvam açısından etil alkole çok benzer. Metanol intoksikasyonu genellikle etanolün metanol ile değiştirilmesiyle hazırlanan yasa dışı olarak üretilmiş sahte içeceklerin ağızdan alınmasından kaynaklanır. Karın ağrısı, bulantı ve kusma, baş ağrısı, görme bozuklukları, şiddetli metabolik asidoz, görme kaybı, kardiyovasküler instabilite ve ölüm metanol intoksikasyonunda gelişebilir. Şiddetli metabolik asidoz en önemli mortalite nedenidir. Ancak literatürde metanol intoksikasyonu sonucu olan bir D-dimer yüksekliği bildirilmemiştir. Metanol intoksikasyonuyla gelen bu vakada hem bulguları hatırlatılarak gelişen şiddetli metabolik asidoza dikkat çekilecek, hem de klinik ve laboratuar düzelmeye rağmen beklenmeyen D-dimer yüksekliği paylaşılacaktır.

Anahtar Kelimeler

• Metanol intoksikasyonu
• metabolic asidoz
• D-dimer düzeyi

Kaynakça

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