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How unclogging a sink can be lethal: case report of an accidental methyl bromide poisoning leading to a multiple organ failure.

Lecailtel S, Broucqsault-Dedrie C, Vanbaelinghem C, Nyunga M, Colling D, Herbecq P - J Intensive Care (2015)

Bottom Line: Although forbidden since 1987 for domestic use, it is still used in industry, for example, to fumigate agricultural fields which are for importation in the United States.Here is the case of a 74-year-old man who was accidentally exposed to methyl bromide after using an old fire extinguisher.Even though he finally survived, he developed a severe multiple organ failure and spent 2 months in intensive care unit.

View Article: PubMed Central - PubMed

Affiliation: Intensive Care Unit, Victor Provo Hospital, Roubaix, France.

ABSTRACT
Methyl bromide (CH3Br) is a colorless and odorless volatile gas, used as an insecticide, fire extinguisher, fumigant, and refrigerant. Although forbidden since 1987 for domestic use, it is still used in industry, for example, to fumigate agricultural fields which are for importation in the United States. Here is the case of a 74-year-old man who was accidentally exposed to methyl bromide after using an old fire extinguisher. Even though he finally survived, he developed a severe multiple organ failure and spent 2 months in intensive care unit. We present in this report all the difficulties we had to diagnose this unusual poisoning.

No MeSH data available.


Related in: MedlinePlus

Brain abnormalities of a patient. (a) MRI showing hyperintense lesions of thalami. (b) Same patient; MRI showing hyperintense lesions of dentate nuclei. (c) Same patient; MRI showing lesions of the posterior white matter in the brainstem pons and in the periaqueductal gray matter of the midbrain.
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Fig1: Brain abnormalities of a patient. (a) MRI showing hyperintense lesions of thalami. (b) Same patient; MRI showing hyperintense lesions of dentate nuclei. (c) Same patient; MRI showing lesions of the posterior white matter in the brainstem pons and in the periaqueductal gray matter of the midbrain.

Mentions: After discussion with the radiologist and the neurologist, it appeared that the first MRI might have been realized too early. A second one was then performed on November 16th (day 4). It showed several abnormalities as follows: hyperintense lesions of thalami (Figure 1a), dentate nuclei (Figure 1b), posterior white matter in the brainstem pons, and periaqueductal gray matter of the midbrain (Figure 1c) on fluid-attenuation inversion recovery (FLAIR) and diffusion weighted-sequences.Figure 1


How unclogging a sink can be lethal: case report of an accidental methyl bromide poisoning leading to a multiple organ failure.

Lecailtel S, Broucqsault-Dedrie C, Vanbaelinghem C, Nyunga M, Colling D, Herbecq P - J Intensive Care (2015)

Brain abnormalities of a patient. (a) MRI showing hyperintense lesions of thalami. (b) Same patient; MRI showing hyperintense lesions of dentate nuclei. (c) Same patient; MRI showing lesions of the posterior white matter in the brainstem pons and in the periaqueductal gray matter of the midbrain.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4940809&req=5

Fig1: Brain abnormalities of a patient. (a) MRI showing hyperintense lesions of thalami. (b) Same patient; MRI showing hyperintense lesions of dentate nuclei. (c) Same patient; MRI showing lesions of the posterior white matter in the brainstem pons and in the periaqueductal gray matter of the midbrain.
Mentions: After discussion with the radiologist and the neurologist, it appeared that the first MRI might have been realized too early. A second one was then performed on November 16th (day 4). It showed several abnormalities as follows: hyperintense lesions of thalami (Figure 1a), dentate nuclei (Figure 1b), posterior white matter in the brainstem pons, and periaqueductal gray matter of the midbrain (Figure 1c) on fluid-attenuation inversion recovery (FLAIR) and diffusion weighted-sequences.Figure 1

Bottom Line: Although forbidden since 1987 for domestic use, it is still used in industry, for example, to fumigate agricultural fields which are for importation in the United States.Here is the case of a 74-year-old man who was accidentally exposed to methyl bromide after using an old fire extinguisher.Even though he finally survived, he developed a severe multiple organ failure and spent 2 months in intensive care unit.

View Article: PubMed Central - PubMed

Affiliation: Intensive Care Unit, Victor Provo Hospital, Roubaix, France.

ABSTRACT
Methyl bromide (CH3Br) is a colorless and odorless volatile gas, used as an insecticide, fire extinguisher, fumigant, and refrigerant. Although forbidden since 1987 for domestic use, it is still used in industry, for example, to fumigate agricultural fields which are for importation in the United States. Here is the case of a 74-year-old man who was accidentally exposed to methyl bromide after using an old fire extinguisher. Even though he finally survived, he developed a severe multiple organ failure and spent 2 months in intensive care unit. We present in this report all the difficulties we had to diagnose this unusual poisoning.

No MeSH data available.


Related in: MedlinePlus