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Reported survival with severe mixed acidosis and hyperlactemia after toluene poisoning

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Author(s): Omar Amr | Rahman Masood | Abuhasna Said

Journal: Saudi Journal of Anaesthesia
ISSN 1658-354X

Volume: 5;
Issue: 1;
Start page: 73;
Date: 2011;
Original page

Keywords: Lactic acidosis | toluene | hyperlactemia

ABSTRACT
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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