title: A Methanol Intoxication Outbreak From Recreational Ingestion of Fracking Fluid.
abstract: Single-patient methanol intoxications are a common clinical presentation, but outbreaks are rare and usually occur in settings in which there is limited access to ethanol and methanol is consumed as a substitute. In this case report, we describe an outbreak of methanol intoxications that was challenging from a public health perspective and discuss strategies for managing such an outbreak.
authors.affiliation: Section of Nephrology, Department of Medicine, University of Manitoba, Winnipeg, Canada; Health Sciences Center, Chronic Disease Innovation Centre, Winnipeg, Canada; Seven Oaks General Hospital, Chronic Disease Innovation Centre, Winnipeg, Canada. Electronic address: dtcollister@gmail.com.
authors.forename: David
authors.initials: D
authors.lastname: Collister
authors.affiliation: Section of Nephrology, Department of Medicine, University of Manitoba, Winnipeg, Canada.
authors.forename: Graham
authors.initials: G
authors.lastname: Duff
authors.affiliation: Health Sciences Center, Chronic Disease Innovation Centre, Winnipeg, Canada; Department of Emergency Medicine, University of Manitoba, Winnipeg, Canada.
authors.forename: Wesley
authors.initials: W
authors.lastname: Palatnick
authors.affiliation: Section of Nephrology, Department of Medicine, University of Manitoba, Winnipeg, Canada; Seven Oaks General Hospital, Chronic Disease Innovation Centre, Winnipeg, Canada.
authors.forename: Paul
authors.initials: P
authors.lastname: Komenda
authors.affiliation: Section of Nephrology, Department of Medicine, University of Manitoba, Winnipeg, Canada; Seven Oaks General Hospital, Chronic Disease Innovation Centre, Winnipeg, Canada.
authors.forename: Navdeep
authors.initials: N
authors.lastname: Tangri
authors.affiliation: Section of Nephrology, Department of Medicine, University of Manitoba, Winnipeg, Canada; Health Sciences Center, Chronic Disease Innovation Centre, Winnipeg, Canada.
authors.forename: Jay
authors.initials: J
authors.lastname: Hingwala
mesh_terms: D000136:Acid-Base Equilibrium; D000138:Acidosis / Q000139:chemically induced / Q000453:epidemiology* / Q000628:therapy; D000328:Adult; D000931:Antidotes / Q000627:therapeutic use; D004196:Disease Outbreaks; D004435:Eating; D000077604:Fomepizole; D006801:Humans; D000067071:Hydraulic Fracking; D002955:Leucovorin / Q000627:therapeutic use; D008297:Male; D008350:Manitoba / Q000453:epidemiology; D000432:Methanol / Q000506:poisoning*; D008875:Middle Aged; D009325:Nausea / Q000139:chemically induced / Q000453:epidemiology; D011041:Poisoning / Q000453:epidemiology* / Q000628:therapy; D011720:Pyrazoles / Q000627:therapeutic use; D006435:Renal Dialysis; D017693:Sodium Bicarbonate / Q000627:therapeutic use; D012997:Solvents / Q000506:poisoning*; D014839:Vomiting / Q000139:chemically induced / Q000453:epidemiology; D055815:Young Adult
chemical_list: D000931:Antidotes; D011720:Pyrazoles; D012997:Solvents; D000077604:Fomepizole; D017693:Sodium Bicarbonate; D002955:Leucovorin; D000432:Methanol
keywords: Methanol; alcohol dehydrogenase inhibition; case reports; contact tracing; folinic acid; fomepizole; hemodialysis; intoxication; outbreak; poisoning; public health; remote medicine; toxic alcohol ingestion