@article{ref1,
title="Intoxication by hand-sanitizers and other toxic alcohols in a low-resource setting: two case reports",
journal="European journal of case reports in internal medicine",
year="2021",
author="Heldeweg, Micah and Kluijver, Louisa and Berend, Kenrick",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Toxic alcohol poisoning can be lethal if not identified early and treated appropriately. Toxic alcohol assays are often unavailable in low-resource setting, so clinicians have to infer a diagnosis based on suspicion, repeated evaluation and biochemical course. We report a case of toxic alcohol poisoning concealed by auto-intoxication with in-hospital hand sanitizer. The eventual appearance of a concurrent high anion gap prompted dialysis. In another case, a comatose patient presented with a high osmolal gap and a high anion gap. Incorrect a priori opinions caused us to defer dialysis and the patient died shortly afterwards. Clinicians should be aware that toxic alcohol poisoning can produce a confusing diagnostic picture with an insidious course, and that doctor delay can prove fatal.<p /> <p>Language: en</p>",
language="en",
issn="2284-2594",
doi="10.12890/2021_002751",
url="http://dx.doi.org/10.12890/2021_002751"
}