Gómez Perera S, Rodríguez Talavera I, Tapia Quijada HE, Guerrero-Mártir M, Díaz de Aguilar Osona M, Falcón Roca R. Secondary visual loss due to inhalation and cutaneous poisoning by methanol and toluene. Presentation of a clinical case.
Arch Soc Esp Oftalmol (Engl Ed) 2020;
95:231-235. [PMID:
32197876 DOI:
10.1016/j.oftal.2020.02.004]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/19/2019] [Revised: 02/10/2020] [Accepted: 02/11/2020] [Indexed: 06/10/2023]
Abstract
Methanol poisoning is often described in the literature, but not transdermal or inhalational poisoning. It usually involves variable multi-organ damage, among which visual, neurological, and gastrointestinal involvement, as well as the metabolic and electrolyte changes that can lead to death. Contact with toluene by occupational or intentional inhalation may also cause neurological abnormalities. This article describes the case of a female patient who was seen in the Emergency Department due to bilateral visual loss secondary to accidental poisoning (inhalation-transdermal) with a solvent containing methanol and toluene. She had a favourable outcome during admission after treatment with ethanol in perfusion and corticosteroids.
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