scholarly journals Methanol Toxicity Presenting as Acute Abdomen: Case Report

2019 ◽  
pp. 1-4
Author(s):  
Yasser Ali ◽  
Mazen Ismail ◽  
Maher Shareif ◽  
Mohanmmad Hosam El-Din ◽  
Inass Taha
Keyword(s):  
Case Report ◽  
Acute Abdominal Pain ◽  
Elevated Serum ◽  
Alcoholic Patient ◽  
Supportive Treatment ◽  
Severe Metabolic Acidosis ◽  
Chronic Alcoholic ◽  
Health Authorities ◽  
Atypical Presentations ◽  
Acid Test

Background: Acute methanol poisoning is a fatal illness. Several Atypical presentations could make it difficult to suspect the diagnosis. Case Report: A 50 years old male known chronic alcoholic presented to the emergency department with severe acute abdominal pain nausea and vomiting. He rapidly deteriorated within 2 hours to develop confusion and seizures, was found to have double gap severe metabolic acidosis and elevated serum methanol. The patient was managed with Continuous Renal Replacement Therapy (CRRT) and supportive measures. He gradually improved and was discharged with no neurological or visual complications. Conclusion and Recommendations: Acute methanol toxicity should be expected if the alcoholic patient develops a rapid neurological deterioration and shows double anion gap acidosis. Health authorities should provide the serum formic acid test for diagnosis and the fomepizole as a preferable antidote. Until then, supportive treatment, intravenous ethanol and CRRT should be immediately started in these patients.

scholarly journals Old Era Continues in Modern World: A Case Report of Scurvy Induced Myopathy in Patient with Chronic Alcoholism

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Girish Singhania ◽  
Namrata Singhania ◽  
Neha Chawla
Keyword(s):  
Case Report ◽  
Vitamin C ◽  
Low Socioeconomic Status ◽  
Chronic Alcoholism ◽  
Modern World ◽  
Alcoholic Patient ◽  
Chronic Alcoholic ◽  
Low Socioeconomic ◽  
Vitamin C Deficiency ◽  
History Of

We report a case of myopathy in a chronic alcoholic patient with scurvy who presented with generalized weakness, myalgias, and arthralgia. Our case raises awareness regarding rare interaction between vitamin C deficiency and myopathy which is seen more commonly in patients with history of chronic alcoholism and low socioeconomic status. Early treatment with vitamin C replacement is helpful in treatment of the disease and its complications.

scholarly journals Acute abdomen due appendicitis with atypical presentation leading to shock in an obese patient and with chronic liver disease

2014 ◽  
Vol 24 (1) ◽  
pp. 85
Author(s):  
Alexandra Damasio Todescatto ◽  
Felipe Ferreira Laranjeira ◽  
Júlia De Gasperi ◽  
Davyd Emaanuel Fin de Lehmann ◽  
Bruna Schmitt de Lacerda ◽  
...  
Keyword(s):  
Liver Disease ◽  
Chronic Liver Disease ◽  
Acute Abdomen ◽  
Collateral Circulation ◽  
Acute Abdominal Pain ◽  
Clinical Status ◽  
Chronic Liver ◽  
Difficult Diagnosis ◽  
Atypical Presentations ◽  
The Right

AIMS: To expose a case of acute abdomen due to appendicitis whose diagnosis was difficult and complicated because of the patient's profile and his comorbidities. CASE DESCRIPTION: Male patient, 52 years old, superobese, smoker and with chronic liver disease, complaining of acute abdominal pain in the right hypochondrium, vomiting and low diuresis. Initially with no signs of peritoneal irritation, the patient was medically managed, but presented worsening of clinical status, progressing to shock and cardiac arrest. The investigation by laparotomy found acute appendicitis, collateral circulation and liver cirrhosis. CONCLUSIONS: Acute abdomen has great impact on emergency care and, since it comprises several clinical situations, knowing and suspecting its main causes and its atypical presentations becomes essential, mainly in cases of difficult diagnosis.

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