Glue Sniffing Presenting with Severe Hypokalemia and Metabolic Acidosis: A Case Report
Journal of the Korean Society of Emergency Medicine
; : 595-599, 2005.
Article
em Ko
| WPRIM
| ID: wpr-24772
Biblioteca responsável:
WPRO
ABSTRACT
Toluene is an aromatic hydrocarbon found in glues, cements, and solvents. Chronic or acute exposure is known to cause acid-base and electrolyte disorders and to be toxic to both the nervous system and the hematopoietic system. The three major clinical presentations involve neuropsychiatric, gastrointestinal, and muscular disorders, whereas toluene intoxication is difficult to diagnose without a history of substance abuse, such as glue sniffing. We report the case of a 27-year-old women who presented with the three major clinical manifestations associated with profound hypokalemia (K+=1 mEq/L) and metabolic acidosis (pH=7.17) after prolonged glue sniffing. To make an early diagnosis, the emergency physician should consider toluene intoxication in patients presenting with altered mental status, hypokalemic muscular paralysis, and a history of glue sniffing.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Paralisia
/
Solventes
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Tolueno
/
Acidose
/
Adesivos
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Transtornos Relacionados ao Uso de Substâncias
/
Diagnóstico Precoce
/
Emergências
/
Abuso de Inalantes
/
Sistema Hematopoético
Tipo de estudo:
Diagnostic_studies
/
Screening_studies
Limite:
Adult
/
Female
/
Humans
Idioma:
Ko
Revista:
Journal of the Korean Society of Emergency Medicine
Ano de publicação:
2005
Tipo de documento:
Article