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Karl Closs, MD; Claus O. Solberg, MD

JAMA. 1970;211(3):497-499.

Abstract
A 63-year-old man consumed a nonidentified beverage 18 hours before hospitalization. His symptoms—headache, nausea, vomiting, abdominal pain, drowsiness, and marked dyspnea leading to deep coma—suggested methanol poisoning. Pupillary reaction was impaired, acidois was present, and the urine contained methanol, formic acid, and formaldehyde. Treatment with sodium bicarbonate, saline, and glucose-insulin was immediately instituted. Oliguria was treated with extracorporeal dialysis, and the patient recovered completely except for a thrombosis in the left leg.

Author Affiliations
From the Department of Clinical Biochemistry, and Medical Department B, University of Bergen (Norway), School of Medicine.

Footnotes
Reprint requests to Minde, via Bergen, Norway (Dr. Closs).

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