Koenig Zachary A, Robertson Grant A, Koenig Nicholas I, Durkin Paige R, McCarthy Ryan
School of Medicine, West Virginia University, Morgantown, USA.
School of Dentistry, West Virginia University, Morgantown, USA.
Cureus. 2021 Feb 21;13(2):e13466. doi: 10.7759/cureus.13466.
Hydrocarbons from gasoline are toxins that can affect a multitude of organ systems based on the route of chemical intoxication exposure, with a majority involving oral ingestion or inhalation. Data is still incomplete concerning the systemic complications of gasoline ingestion due in part to variability in the chemical composition of various gasoline products. A 64-year-old female presented to her local emergency department following the ingestion of gasoline in a suicide attempt with altered mental status, hypotension, shortness of breath, tachypnea, sinus tachycardia, coarse rhonchi bilaterally, and hyperactive bowel sounds. Treatment upon admission included intravenous ampicillin/sulbactam, intubation, an intravenous fluid bolus, and ketamine to address the developing hypotension. The patient developed multiorgan failure and acute toxic encephalopathy despite medical interventions and hemodialysis. After four days, comfort care measures were initiated, and the patient passed away. Gasoline toxicity can have a profound effect on multiple organs based on the chemical properties and the route of exposure. These sequelae can be monitored through patient symptoms as well as radiologic imaging. Early supportive therapy and decontamination are vital in decreasing the morbidity and mortality associated with gasoline ingestion.
汽油中的碳氢化合物是毒素，根据化学中毒暴露途径，可影响多个器官系统，其中大多数涉及经口摄入或吸入。由于各种汽油产品的化学成分存在差异，关于摄入汽油后的全身并发症的数据仍不完整。一名64岁女性因自杀企图摄入汽油后出现精神状态改变、低血压、呼吸急促、呼吸频率加快、窦性心动过速、双侧粗湿啰音和肠鸣音亢进，被送往当地急诊科。入院时的治疗包括静脉注射氨苄西林/舒巴坦、插管、静脉推注液体以及使用氯胺酮来处理逐渐发展的低血压。尽管进行了医疗干预和血液透析，患者仍出现多器官功能衰竭和急性中毒性脑病。四天后，开始采取舒适护理措施，患者最终去世。基于化学性质和暴露途径，汽油毒性可对多个器官产生深远影响。这些后遗症可通过患者症状以及放射影像学进行监测。早期支持治疗和去污对于降低与摄入汽油相关的发病率和死亡率至关重要。
