Acute ingestion

A 46 year old male presented to hospital 30 minutes after ingestion of about 1 quart (940 ml) of a toluene containing paint thinner. He complained of abdominal pain and developed vomiting and diarrhoea. On examination he was alert but mildly ataxic and became disorientated. He had a non-anionic gap metabolic acidosis. Toxicological analysis of serum was positive for benzodiazepines, opioids and tetrahydrocannabinnol (cannabis). His CNS depression worsened and he was electively intubated to protect the airway during gastric lavage. Gastric contents were bloody. He recovered within 36 hours with supportive treatment (Caravati and Bjerk, 1997).

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