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Correspondence
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Volume 356:530-531 February 1, 2007 Number 5
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Intoxication of a Hospitalized Patient with an Isopropanol-Based Hand Sanitizer

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To the Editor: A 43-year-old man with alcoholism was admitted to the hospital with chest pain, for which the workup was unremarkable. At discharge, the patient became acutely hypotensive and delirious. He was afebrile, oxygenating well, and had a nonfocal neurologic examination. Intravenous fluids and vasopressors were administered. The results of routine laboratory tests were normal, as were the results of arterial blood gas and serum ethanol measurements, toxicology screening, blood and urine cultures, and computed tomography of the head. Urinalysis showed a trace of acetone. The following day, the patient was hemodynamically stable, but his mental status did not . . . [Full Text of this Article]


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