Weakness and metabolic acidosis: anamnesis is the answer.
DOI:
https://doi.org/10.32818/reccmi.a3n1a12Keywords:
toluene toxicity, acid-base imbalance, renal tubular acidosis.Abstract
Weakness secondary to the loss of muscle strength is a frequent reason for consultation in the emergency ser- vices and includes a wide spectrum of differential diagnoses. When accompanied by metabolic acidosis, electrolyte disturbances and a history of inhalant abuse, toluene toxicity should be suspected. We present the case of a young patient with abuse of inhalants who presented a toluene intoxication manifested by an arreflexic quadriparesis, associated with metabolic acidosis with elevated anion gap and severe hypokalemia. The diagnosis was made after performing a detailed anamnesis.
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Copyright (c) 2018 Gustavo Alexis Lemus-Barrios, Julián Andrés Hoyos-Pulgarín, Oscar Iván Gutiérrez-Sanjuán, Jacklyn Cristina Guzmán-Montealegre
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