Reported survival with severe mixed acidosis and hyperlactemia after toluene poisoning
2011

Survival After Toluene Poisoning

Sample size: 1 publication Evidence: low

Author Information

Author(s): Omar Amr S. Rahman, Masood ur Abuhasna

Primary Institution: Department of Critical Care Medicine, Tawam Hospital/ John Hopkins Medicine, Al Ain, UAE

Hypothesis

Can patients with severe metabolic acidosis and hyperlactemia due to toluene sniffing survive with proper medical intervention?

Conclusion

Despite severe clinical symptoms, the patient survived due to early diagnosis and appropriate treatment.

Supporting Evidence

  • The patient had severe metabolic acidosis with a pH of 6.5 and a lactate level of 16 mmol/L.
  • Despite critical conditions, the patient was discharged from the ICU after 10 days.
  • Early diagnosis and proper interventions were crucial for the patient's recovery.

Takeaway

A man who sniffed toluene got very sick but was able to get better with the right medical help.

Methodology

The patient received supportive treatment including mechanical ventilation, hemodynamic monitoring, and continuous veno-venous hemodialysis.

Limitations

The study is based on a single case report, limiting generalizability.

Participant Demographics

A 36-year-old man with a history of toluene sniffing and comorbid conditions including diabetes and renal insufficiency.

Digital Object Identifier (DOI)

10.4103/1658-354X.76474

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