Abstract | CONTEXT:
Methanol intoxication is a life-threatening condition. Hallmark of clinical presentations include severe wide anion gap metabolic acidosis with very high serum osmolar gap and visual complication. CASE REPORT: We report a case of severe methanol intoxication with bilateral putaminal hemorrhage, an uncommon serious complication. A 56-year-old man presented with altered mental status. Fundus examination showed optic disc edema. Arterial Blood Gas (ABG) revealed severe anion gap metabolic acidosis with osmolal gap. Head computed tomography (CT) showed hypodense lesions in basal ganglia bilaterally. Hemodialysis and intravenous fomepizole were initiated. Serum methanol level was significantly elevated. Unfortunately, patient was lethargic 2 weeks after discharge. Repeated CT of head demonstrated new putaminal hemorrhages. CONCLUSION:
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Authors | Nitipong Permpalung, Wisit Cheungpasitporn, Daych Chongnarungsin, Travis M Hodgdon |
Journal | North American journal of medical sciences
(N Am J Med Sci)
Vol. 5
Issue 10
Pg. 623-4
(Oct 2013)
ISSN: 2250-1541 [Print] India |
PMID | 24350079
(Publication Type: Case Reports)
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