Limits...
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

Evolution of the methyl bromide plasma levels.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Fig3: Evolution of the methyl bromide plasma levels.

Mentions: At day 7, the son of the patient brought us the answer: an old empty extinguisher (Figure 2). The patient used it in the morning of his consultation to unclog his sink and he inhaled the content of the extinguisher, which contained methyl bromide. A blood sample was sent to specialized toxicology laboratory in Paris. The methyl bromide blood level was over 120 mg/L (normal level <0.05 mg/L). Assuming a 12-day half-life for methyl bromide [1], his serum bromide was probably much higher at his admission (7 days before the blood sample). Four weeks later, methyl bromide was still positive in the patient’s blood (Figure 3).Figure 2


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)

Evolution of the methyl bromide plasma levels.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Fig3: Evolution of the methyl bromide plasma levels.
Mentions: At day 7, the son of the patient brought us the answer: an old empty extinguisher (Figure 2). The patient used it in the morning of his consultation to unclog his sink and he inhaled the content of the extinguisher, which contained methyl bromide. A blood sample was sent to specialized toxicology laboratory in Paris. The methyl bromide blood level was over 120 mg/L (normal level <0.05 mg/L). Assuming a 12-day half-life for methyl bromide [1], his serum bromide was probably much higher at his admission (7 days before the blood sample). Four weeks later, methyl bromide was still positive in the patient’s blood (Figure 3).Figure 2

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