Extensive brain infarction and acute kidney injury in a young adult with methanol intoxication: A case report and review of the literature

George Vasquez-Rios, Hani Alkhankan, Boutros Peter Sawaya, Javier A. Neyra

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Introduction: Methanol intoxication is an infrequent cause of poisoning in the United Sates. It can present with prominent stroke-like features and acute kidney injury. Despite the life-threatening nature of this condition, it is poorly identified by clinicians. We aim to present a case of rapidly progressive mental decline and renal involvement, discuss a diagnostic work-up and provide a critical review on therapeutic strategies. Case presentation: A 24-year-old patient presented to the emergency department with acute encephalopathy and diffuse muscular rigidity. His studies were relevant for severe anion gap metabolic acidosis, extensive brain infarction, and acute kidney injury. After excluding infections, drug intoxication, and environmental exposure, his serum methanol levels were found to be high. The patient was effectively treated with renal replacement therapy and survived with residual neurological sequelae. Conclusions: Methanol intoxication should be in the differential diagnosis of patients with brain infarction and high anion gap metabolic acidosis. Early use of renal replacement therapy may be life-saving and should be tailored on an individual basis.

Original languageEnglish
Pages (from-to)148-154
Number of pages7
JournalClinical Nephrology
Volume90
Issue number2
DOIs
StatePublished - Aug 1 2018

Keywords

  • Ganglia infarction
  • Methanol poisoning
  • Renal failure
  • Renal replacement therapy

ASJC Scopus subject areas

  • Nephrology

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