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Published 20 November 2008
Cite this as: BMJ Case Reports 2008 [doi:10.1136/bcr.08.2008.0619]
Copyright © 2008 by the BMJ Publishing Group Ltd.

Findings that shed new light on the possible pathogenesis of a disease or an adverse effect

Gastrointestinal and urinary tract bleeding in methanol toxicity

Babak Mostafazadeh, Haleh Talaie, Arezou Mahdavinejad, Mehdi Mesri, Mohammadali Emanhadi

Shahid Beheshti University of Medical Sciences, Forensic Medicine and Clinical Toxicology, Loghman-Hakim Hospital Poison Center, Tehran 13334, Islamic Republic of Iran

Correspondence to:
mstzbmd{at}sbmu.ac.ir

SUMMARY

Methanol is a clear, colourless liquid with a smell and taste similar to ethanol. Intoxications with methanol are still frequent in large parts of the developing world. Haemodialysis should be done in cases of severe toxicity to eliminate toxic metabolites. In this case report, we describe a 37-year-old chronic alcohol abuser with methanol poisoning, who developed haematuria and upper gastrointestinal (GI) bleeding after haemodialysis. The upper GI endoscopic findings showed only low grade oesophageal ulceration. Haematuria and upper GI bleeding in our patient might also have cause by the effect of heparinisation during haemodialysis.


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