Toxic alcohols are a group of substances containing a hydroxyl group not meant to be ingested. They are the cause of a significant number of accidental and non-accidental exposures. Toxic alcohol poisoning can be associated with a significant degree of morbidity and mortality if not promptly recognized and treated. This review describes the clinical presentation and an approach to the recognition and management for toxic alcohol poisoning. Toxic alcohols classically refer to a group of alcohols not meant for ingestion. Methanol, ethylene glycol, and isopropyl alcohol are readily available in common hardware and household materials. Toxic alcohols are ingested for a variety of reasons including accidental exposures, intentional inebriation, homicide and suicide. The patient with an altered mental status or concerning history warrants consideration of this potentially deadly ingestion. Treatment considerations include alcohol dehydrogenase blockade and hemodialysis. Toxic alcohol poisoning can be an elusive diagnosis. This review evaluates toxic alcohol poisoning signs and symptoms and an approach to diagnosis and management.
机构:
Massachusetts Gen Hosp, Dept Emergency Med, Boston, MA 02114 USA
Brown Univ, Warren Alpert Med Sch, Providence, RI 02912 USAMassachusetts Gen Hosp, Dept Emergency Med, Boston, MA 02114 USA
Prucnal, Christiana K.
Jansson, Paul S.
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Brigham & Womens Hosp, Dept Emergency Med, 75 Francis St, Boston, MA 02115 USA
Harvard Med Sch, Dept Emergency Med, Boston, MA 02115 USAMassachusetts Gen Hosp, Dept Emergency Med, Boston, MA 02114 USA
机构:
Taipei Vet Gen Hosp, Dept Emergency Med, Taipei, TaiwanTaipei Vet Gen Hosp, Dept Emergency Med, Taipei, Taiwan
Liao, Po-Hsiang
Fan, Ju-Sing
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Taipei Vet Gen Hosp, Dept Emergency Med, Taipei, Taiwan
Natl Yang Ming Univ, Sch Med, Dept Emergency Med, Fac Med, Taipei, TaiwanTaipei Vet Gen Hosp, Dept Emergency Med, Taipei, Taiwan