Intoxication by Hand-Sanitizers and other Toxic Alcohols in a Low-Resource Setting: Two Case Reports

Intoxication by Hand-Sanitizers and other Toxic Alcohols in a Low-Resource Setting: Two Case Reports

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Toxic alcohol poisoning can be lethal if not identified early and treated appropriately.Toxic alcohol assays are often g5210t-p90 unavailable in low-resource setting, so clinicians have to infer a diagnosis based on suspicion, repeated evaluation and biochemical course.We report a case of toxic alcohol poisoning concealed by auto-intoxication with in-hospital hand sanitizer.

The eventual appearance of a concurrent high anion gap prompted dialysis.In another case, a comatose patient presented with a high osmolal gap and a high anion gap.Incorrect a priori opinions caused us to defer dialysis and the patient died shortly afterwards.

Clinicians should be aware that toxic alcohol here poisoning can produce a confusing diagnostic picture with an insidious course, and that doctor delay can prove fatal.