Year : 2011  |  Volume : 5  |  Issue : 1  |  Page : 73-75

Reported survival with severe mixed acidosis and hyperlactemia after toluene poisoning

Department of Critical Care Medicine, Tawam Hospital/ John Hopkins Medicine, Al Ain, United Arab Emirates

Correspondence Address:
Amr S Omar
Department of Critical Care Medicine, Tawam Hospital/John Hopkins Medicine, P.O. Box 15258, Al Ain, Abu Dhabi
United Arab Emirates
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1658-354X.76474

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Lactic acidosis is a recognized complication of the inhalant abuse such as toluene, especially in patients with renal insufficiency. We report a case of severe metabolic acidosis and hyperlactemia due to toluene sniffing. The favorable outcome, despite extremely poor clinical symptoms, signs, laboratory and radiological findings, was unexpected. Specific aspects of the clinical course are addressed. Toluene sniffing should be considered in evaluating sever metabolic acidosis. Favorable outcome could be achieved with early diagnosis and proper interventions.

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