Acute intentional ingestion

A 19 year old male ingested up to 840 ml of a product containing 20-35% EGBE and 15-25% propylene glycol. Gastric lavage was performed and he was given activated charcoal. He rapidly developed coma and required ventilation. He had convulsions, severe hypotension and aspirated, which resulted in hypoxia. Symptoms included acidosis, disseminated intravascular coagulation (DIC), thrombocytopenia and a reduced haematocrit. He began to improve over 24 hours, but acidosis continued and he was haemodialysed 29-33 hours after ingestion. He recovered but required prolong neurorehabilitation (Burkhart and Donovan, 1998).

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