TY - JOUR PY - 2021// TI - Severe visual loss caused by inhalational methanol poisoning in fireworks production: a report on 3 cases JO - American journal of industrial medicine A1 - Luo, Lei A1 - Zhu, XueQin A1 - Li, JiMeng A1 - Yang, Feng A1 - Xiong, YanYan A1 - Xie, Ying SP - ePub EP - ePub VL - ePub IS - ePub N2 - BACKGROUND: Workers in fireworks production are mainly at risk for explosion injury. However, there are few reports on the consequences of methanol poisoning in fireworks laborers. CASE PRESENTATION: We report on three patients with visual loss caused by inhalation exposure to high concentrations of methanol, who were engaged in the granulation process of the fireworks manufacturing industry. They presented with severe metabolic acidosis and visual impairments, accompanied by headache, chest tightness, shortness of breath, dizziness, and vomiting. All were diagnosed with acute methanol poisoning. One patient developed bilateral blindness and two patients improved after timely hemodialysis treatment.

CONCLUSIONS: These case reports emphasize the risk of methanol poisoning in the fireworks industry or other factories using commercial alcohol with high methanol content. Early hemodialysis intervention and metabolic acidosis correction are crucial for rescuing visual impairment caused by methanol exposure. Awareness and supervision of commercial alcohol use are indispensable for similar industrial processes.

Language: en

LA - en SN - 0271-3586 UR - http://dx.doi.org/10.1002/ajim.23315 ID - ref1 ER -