Methanol Poisoning as a Trigger for the Presentation of Diabetes Mellitus: A Case Report

Mousavi, Seyed Reza; Dadpour, Bita; Moshiri, Mohammad; Moghiman, Toktam; Khosrojerdi, Hamid; Najari, Fares

doi:10.32598/ijmtfm.v9i3.25085

Cited by 2 publications

(1 citation statement)

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“…It is important to highlight that opium addiction may also lead to severe hyperglycemia and an increase in insulin resistance [ 18 ]. Current literature suggests a possible association of opium withdrawal with aggravation of hyperglycemia, as well, although the relation was not well clarified [ 19 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

Diabetic ketoacidosis as a complication of methanol poisoning; a case report

et al. 2022

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Introduction Diabetic ketoacidosis (DKA) is a complication of diabetes presenting with high anion gap metabolic acidosis. Methanol poisoning, on the other hand, is a toxicology emergency which presents with the same feature. We present a case of methanol poisoning who presented with DKA. Case presentation A 28-year-old male was referred to us with blurred vision and loss of consciousness three days after ingestion of 1.5 L of an unknown mixture of bootleg alcoholic beverage. He had history of insulin-dependent diabetes and had neglected his insulin shots on the day prior to hospital admission due to progressive loss of consciousness. Vital signs were normal and venous blood gas analysis showed severe metabolic acidosis and a methanol level of 10.2 mg/dL. After eight hours of hemodialysis, he remained unresponsive. Diabetic ketoacidosis was suspected due to positive urine ketone and blood sugar of 411 mg/dL. Insulin infusion was initiated which was followed by full awakening and extubation. He was discharged completely symptom-free after 4 weeks. Conclusions Diabetic ketoacidosis and methanol poisoning can happen simultaneously in a diabetic patient. Given the analogous high anion gap metabolic acidosis, physicians should pay particular attention to examination of the diabetic patients. Meticulous evaluation for both conditions is highly recommended.

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Section: Discussionmentioning

confidence: 99%