TY - JOUR PY - 2020// TI - Alcohols and glycols poisoning JO - Medicine (Abingdon) A1 - Waring, William Stephen SP - 185 EP - 188 VL - 48 IS - 3 N2 - Ethanol intoxication is widely encountered and can cause coma, hypotension, hypoglycaemia and acid-base disturbances. Isopropyl alcohol and its metabolite acetone cause profound depression of the central nervous system with rapid onset. Toxic alcohols include methanol, ethylene glycol and diethylene glycol; these cause severe metabolic acidosis, acute renal failure and, for methanol, severe visual disturbance. Toxicity is attributable to metabolites rather than the alcohol or glycol, and there is a characteristic delay between ingestion and severe toxicity. Management strategies include early administration of fomepizole, to minimize formation of toxic metabolites, and haemodialysis to remove metabolites in patients presenting late.
Language: en
LA - en SN - 1357-3039 UR - http://dx.doi.org/10.1016/j.mpmed.2019.12.009 ID - ref1 ER -