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TitelSudden bilateral blindness due to methanol intoxication in an abstemious patient
DoelTo report an unusual case of methanol intoxication in a non-alcoholic man.
MethodesReport of a case of a 28 year-old man presenting as an emergency with vomiting and abdominal pain and ending in bilateral blindness.
ResultatenAt the emergency department, the patient became unconscious and had to be intubated. A severe metabolic acidosis was found in blood tests. When awakening, the patient complained of bilateral blindness. MRI showed a bilateral putamen necrosis which, when associated with metabolic acidosis, is typically seen in methanol intoxication. As the patient had no alcoholic habits, this diagnosis was initially missed, preventing an antidote treatment in an appropriate delay. He did not recover and developed a bilateral optic nerve atrophy.
ConclusieMethanol intoxication is rare in our country. Symptoms, managing and treatment of methanol intoxication should be known and the diagnosis suspected even in non-alcoholic patients since an early diagnosis and treatment allows a higher rate of recovery.
Auteur 1
NaamNYST
InitialenBN
Instituuthôpital Erasme
StadBruxelles
Auteur 2
NaamCORDONNIER
InitialenMC
Instituuthôpital Erasme
StadBruxelles
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