A seaman with blindness and confusion

  title={A seaman with blindness and confusion},
  author={Leo J. Schep and Robin J Slaughter and J Allister Vale and D Michael G Beasley},
  journal={BMJ : British Medical Journal},
A male member of a fishing boat crew presented at a rural hospital 36 hours after having consumed a large amount of “bootleg” (home made) vodka. He had loss of vision and seemed to be confused. He was immediately evacuated by helicopter to a large urban hospital emergency department. On arrival, the patient developed seizures followed by circulatory shock. ### Short answers ### Long answers #### 1 Diagnosis This patient’s history of drinking illicit alcohol and the onset of visual… 
The evaluation of deaths due to methyl alcohol intoxication
This is the first study to report postmortem findings, clinical reports, crime scene reports and eye witness accounts to investigate methyl alcohol poisoning cases from medico-legal point of view in Turkey.
A Singular Case of Survival After Acute Methanol Poisoning: Toxicological and Neuroimaging Findings
It was possible to monitor the clinical evolution, the arterial blood gas assay and toxicological research of methanol in blood and urine, as well as the brain damage by computed tomography and magnetic resonance imaging during a period of 20 days after the intake.
Hooch Tragedy in Majha Region of Punjab, India
The meticulous autopsy findings and the scientific interpretation of the analysis of the detected methanol alone or along with ethyl alcohol reported by the chemical examiner to Punjab government led to the establishment of a definite cause of death which helped the investigating agencies in apprehending the people involved in these criminal activities.
A case of methanol intoxication caused by methomyl pesticide ingestion
Clinicians should identify the solvent used in the pesticide, because solvents such as methanol may exacerbate the symptoms of poisoned patients, when treating pesticide-poisoned patients.
Acute pancreatitis due to methanol toxicity during the COVID‐19 pandemic
A 37‐year‐old man is presented with acute pancreatitis due to methanol poisoning during the COVID‐19 pandemic.
Health Risk Behaviours among Secondary School Athletes in Gboko L.G.A., Benue State
It was concluded that the student-athletes are aware of behaviours that impede their athletic success and concerned government agencies and parastatals in-conjunction with counsellors such as the psychologists and social workers, should formulate sustainable programmes.
Headspace-gas chromatography/mass spectrometry analysis of methanol in blood
A headspace gas chromatographic-mass spectrometric (HS-GC/MS) method was developed for detection of ethanol and methanol in blood and validation was performed in a study case involving a transient loss of consciousness resulting from self-administered denaturated alcohol.
Effect of Methanol as Cryoprotective Agent on Common Carp Fish (Cyprinus carpio L.) Larvae
Because of the lack of information about injury or malformation when the cryoprotectants agent (CPAs) used as cryoprotective agents in common carp (Cyprinus carpio L.) Larvae that resulting from


Studies on methanol poisoning.
Ethanol in concentrations even lower than usually recommended may be useful as the only treatment of patients with blood methanol concentrations up to 15 mmol/l (0.5 g/l), provided there is no acidosis or visual impairment.
Methanol mass poisoning in Estonia: Outbreak in 154 patients
Given limited resources, triage and use age of tertiary care centers allowed a small community hospital to treat a high number of methanol-poisoned patients, and critical resources were ventilators and dialyzing machines, whereas stores of antidote and bicarbonate were sufficient.
Fomepizole for ethylene glycol and methanol poisoning.
  • J. Brent
  • Medicine, Chemistry
    The New England journal of medicine
  • 2009
A 35-year-old man is brought to the emergency department after ingesting automobile antifreeze. His pH is 7.30, and his urinalysis reveals calcium oxalate crystals, findings consistent with ethylene
Fomepizole for the treatment of methanol poisoning.
Fomepizole appears to be safe and effective in the treatment of methanol poisoning and nine patients survived and two patients who died had anoxic brain injury that was present at the time of enrollment.
Toxic alcohol ingestions: clinical features, diagnosis, and management.
  • J. Kraut, I. Kurtz
  • Medicine
    Clinical journal of the American Society of Nephrology : CJASN
  • 2008
It is important for the clinician to have a high degree of suspicion for these disorders in cases of high anion gap metabolic acidosis, acute renal failure, or unexplained neurologic disease so that treatment can be initiated early.
Diethylene glycol poisoning
All main aspects of DEG poisoning including epidemiology, toxicokinetics, mechanisms of toxicity, clinical features, toxicity ofDEG, diagnosis, and management are summarized.
Fomepizole in the treatment of ethylene glycol poisoning.
Fomepizole may be recommended over ethanol in situations in which avoidance of ethanol-induced side effects is imperative or when ethanol is not readily available, and further studies are required to verify its comparative efficacy and cost-effectiveness compared to ethanol.
Anion and osmolal gaps in the diagnosis of methanol poisoning: clinical study in 28 patients
Osmolal and anion gaps are useful in the diagnosis and triage of methanol-exposed subjects and correlated well with the serum formate concentrations on admission.
Osmol gaps revisited: normal values and limitations.
The osmol gap in patients whose serum ethanol concentrations are known, to reevaluate several accepted equations for calculating osmolarity, and to apply the results to the theoretical clinical scenario of a toxic alcohol ingestion is defined.