College of Medicine, International Medical University, Kuala Lumpur, Malyasia.
Clin Toxicol (Phila). 2010 Nov;48(9):959-60. doi: 10.3109/15563650.2010.523830. Epub 2010 Oct 6.
Cresol is a phenol derivative used as a disinfectant worldwide. Acute cresol poisoning is potentially fatal as it may cause multiple organ failure. We present a case of acute cresol intoxication in a male patient to illustrate the effects of cresol poisoning.
A 42-year-old male presented with black urine, painless brownish dermal burns, and a strong carbolic acid odor. The patient was immediately resuscitated with adequate oxygenation and aggressive fluid resuscitation. He was subsequently admitted to the intensive care unit, where his treatment course was complicated by pneumonia, gastrointestinal bleeding, hepatic dysfunction, and acute renal failure. After receiving supportive intensive care, the patient recovered and was discharged with no sequelae.
The distinctive clinical features of this case may be useful in diagnosis, because laboratory analytical methods for cresols are not routinely available at most hospitals.
甲酚是一种酚类衍生物，被广泛用作消毒剂。急性甲酚中毒可能导致多器官衰竭，具有潜在致命性。我们报告了 1 例急性甲酚中毒的男性患者病例，以阐明甲酚中毒的影响。
一名 42 岁男性因黑尿、无痛性棕褐色皮肤烧伤和强烈的石碳酸气味就诊。立即给予患者充分的氧合和积极的液体复苏。随后，他被收入重症监护病房，在那里他的治疗过程中并发肺炎、胃肠道出血、肝功能障碍和急性肾衰竭。在接受支持性重症监护治疗后，患者康复出院，无后遗症。
该病例的独特临床特征可能有助于诊断，因为大多数医院通常没有常规的甲酚实验室分析方法。
