Citation

Schneir A, Rentmeester L. Clin. Toxicol. (Phila) 2016; 54(5): 450-453.

Affiliation

a Division of Medical Toxicology, Department of Emergency Medicine , University of California, San Diego Health System , San Diego , CA , USA.

Copyright

(Copyright © 2016, Informa - Taylor and Francis Group)

DOI

10.3109/15563650.2016.1157723

PMID

26998888

Abstract

CONTEXT: The inhalation of carbon monoxide produced by the incomplete combustion of carbon remains a popular method of suicide. A much less common method of producing carbon monoxide for suicide is by mixing formic and sulfuric acids. CASE DETAILS: We describe a patient who attempted suicide by mixing formic and sulfuric acids. He presented with a depressed level of consciousness, chemical burns of his airway and skin, and respiratory distress. He was found to have a metabolic acidosis, a carboxyhemoglobin of 36.8%, hyperkalemia, and rhabdomyolysis. His hospital course was notable for copious pulmonary secretions and hypoxia, but he ultimately recovered with supportive care.

DISCUSSION: The case highlights the potential toxicity, particularly from inhaled carbon monoxide and formic acid, with this method of suicide.

Language: en