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A case of mixed intoxication with isopropyl alcohol and propanol-1 after ingestion of a topical antiseptic solution.

AbstractWe report a mixed intoxication with isopropyl alcohol and propanol-1 in a hospitalized patient who ingested, on two separate days, two 100 ml bottles of a topical antiseptic solution containing isopropyl alcohol and propanol-1. Eight hours after the second ingestion, plasma concentrations of isopropanol, propanol-1 and acetone were 37 mg/dL, <10 mg/dL, and 227 mg/dl, respectively. Despite a lack of severe toxicity, 4-methylpyrazole (fomepizole) was initiated. This case points out the need to limit access to alcohol-containing antiseptic solutions on wards where alcoholic and psychotic patients are hospitalized.
AuthorsBenoit Blanchet, Antoine Charachon, Stéphanie Lukat, Estelle Huet, Anne Hulin, Alain Astier (Affiliation: Laboratory of Pharmacology and Toxicology, CHU Henri Mondor, Créteil, France. benoit.blanchet at hmn.ap-hop-paris.fr)
JournalClinical toxicology (Philadelphia, Pa.) (Clin Toxicol (Phila)) Vol. 45 Issue 6 Pg. 701-4 (Sep 2007) ISSN: 1556-3650 United States
PMID17849246 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Anti-Infective Agents, Local
  • Antidotes
  • Drug Combinations
  • Pyrazoles
  • 2-Propanol
  • 1-Propanol
  • fomepizole
Topics
  • 1-Propanol (poisoning)
  • 2-Propanol (poisoning)
  • Adult
  • Anti-Infective Agents, Local (poisoning)
  • Antidotes (administration & dosage, therapeutic use)
  • Drug Combinations
  • Female
  • Humans
  • Poisoning (drug therapy)
  • Pyrazoles (administration & dosage, therapeutic use)
  • Suicide, Attempted (psychology)
  • Treatment Outcome