Isopropyl Alcohol Intoxication Treated With Hemodialysis: A Case Report and Short Review

Isopropyl alcohol (IPA) is a common constituent of rubbing alcohol, household cleaning agents, and antiseptic agents. Ingestion of IPA usually leads to self-resolving mild symptoms in most cases but can result in severe symptoms, including central nervous system depression or hemodynamic instability...

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Published inCurēus (Palo Alto, CA) Vol. 16; no. 1; p. e52580
Main Authors Kumar, Sagar, Dabbas, Sarah, Manisha, Fnu, Akta, Huma, Al Jaber, Emad
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 19.01.2024
Cureus
Subjects
Acidosis
Alcohol
Case reports
Coma
Creatinine
Dementia
Drunkenness
Ecstasy
Emergency Medicine
Ethanol
Extubation
Hemodialysis
Hemodynamics
Hypotension
Intensive care
Internal Medicine
Intoxication
Intubation
Laboratories
Metabolism
Mortality
Nephrology
Patients
Potassium
Toxicity
Toxicology
Urine
Vomiting
isopropyl alcohol intoxication
hemodialysis
severe alcohol intoxication
acute encephalopathy
osmolar gap
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Summary:Isopropyl alcohol (IPA) is a common constituent of rubbing alcohol, household cleaning agents, and antiseptic agents. Ingestion of IPA usually leads to self-resolving mild symptoms in most cases but can result in severe symptoms, including central nervous system depression or hemodynamic instability. Treatment is mainly supportive, and hemodialysis is generally reserved for severe intoxication. Limited data are available on the use of hemodialysis to treat IPA intoxication. We are presenting a case of accidental ingestion of IPA in an elderly female with dementia leading to severe intoxication requiring hemodialysis at relatively non-toxic serum levels of IPA. The patient had a prompt recovery without any post-procedural or hospital-acquired complications.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.52580