-Severe self-poisoning with formol-.
We report a case of voluntary poisoning with formalin in a 47-year-old man. The initial status included respiratory failure, metabolic acidosis and coagulopathy. Medical therapy consisted of mechanical ventilation, a single prolonged haemodialysis session, N-acetylcysteine, and folic acid administration. The corrosive damage to the gastrointestinal tract required an oesogastrectomy and three months later a colic transplant.
Ferrandière
M
M
Service de réanimation médicale polyvalente, CHU Bretonneau, Tours, France.
Dequin
P F
PF
Legras
A
A
Hazouard
E
E
Benchellal
Z
Z
Perrotin
D
D
D000111:Acetylcysteine / Q000627:therapeutic use; D000138:Acidosis / Q000139:chemically induced; D001778:Blood Coagulation Disorders / Q000139:chemically induced; D002057:Burns, Chemical / Q000601:surgery; D002424:Caustics / Q000506:poisoning*; D003106:Colon / Q000637:transplantation; D016629:Esophagectomy; D004947:Esophagus / Q000293:injuries; D005100:Expectorants / Q000627:therapeutic use; D005404:Fixatives / Q000506:poisoning*; D005492:Folic Acid / Q000627:therapeutic use; D005557:Formaldehyde / Q000506:poisoning*; D005743:Gastrectomy; D006397:Hematinics / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis; D012121:Respiration, Artificial; D012131:Respiratory Insufficiency / Q000139:chemically induced; D013270:Stomach / Q000293:injuries
D002424:Caustics; D005100:Expectorants; D005404:Fixatives; D006397:Hematinics; D005557:Formaldehyde; D005492:Folic Acid; D000111:Acetylcysteine