TY - JOUR PY - 2016// TI - Carbon monoxide poisoning and pulmonary injury from the mixture of formic and sulfuric acids JO - Clinical toxicology (Philadelphia, Pa.) A1 - Schneir, Aaron A1 - Rentmeester, Landen SP - 450 EP - 453 VL - 54 IS - 5 N2 - 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

LA - en SN - 1556-3650 UR - http://dx.doi.org/10.3109/15563650.2016.1157723 ID - ref1 ER -