Toluene toxicity presenting with hypokalemia, profound weakness and U waves in the electrocardiogram.
Am J Emerg Med
; 37(11): 2120.e1-2120.e3, 2019 11.
Article
em En
| MEDLINE
| ID: mdl-31477355
ABSTRACT
We present the case of a 25-year-old man with progressive limb weakness. His electrocardiogram showed prominent U waves which made us consider hypokalemia. The final diagnosis was toluene intoxication with severe hypokalemia and metabolic acidosis. Intravenous potassium administration and hydration effectively corrected the electrolyte and acid-base alterations; weakness resolved and the patient was discharged. The approach to a patient with acute weakness can be challenging. This case reminds us that the electrocardiogram can be a valuable tool in the evaluation and differential diagnosis of patients presenting to the emergency department with these conditions.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Solventes
/
Tolueno
/
Acidose
/
Debilidade Muscular
/
Transtornos Relacionados ao Uso de Substâncias
/
Hipopotassemia
Tipo de estudo:
Diagnostic_studies
Limite:
Adult
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article