An 85 year-old man presented with coma after ingestion of a household product. Two key axial views of his brain MRI are shown. Which of the following did he ingest?
- Apple cider vinegar
- Bleach
- Drain cleaner
- Ethylene glycol
- Hydrogen peroxide
Peer reviewed on behalf of ACMT by Dr. Bryan Judge, Dr. Louise Kao, and Dr. Daniel Ruysniak
References
1.
Hendriksen S, Menth N, Westgard B, et al. Hyperbaric oxygen therapy for the prevention of arterial gas embolism in food grade hydrogen peroxide ingestion. Am J Emerg Med. 2017;35(5):809.e5-809.e8. [PubMed]
2.
Byrne B, Sherwin R, Courage C, et al. Hyperbaric oxygen therapy for systemic gas embolism after hydrogen peroxide ingestion. J Emerg Med. 2014;46(2):171-175. [PubMed]
3.
Rider S, Jackson S, Rusyniak D. Cerebral air gas embolism from concentrated hydrogen peroxide ingestion. Clin Toxicol (Phila). 2008;46(9):815-818. [PubMed]
4.
Vander H, Seamon J. Resolution of delayed altered mental status associated with hydrogen peroxide ingestion following hyperbaric oxygen therapy. Acad Emerg Med. 2003;10(9):998-1000. [PubMed]
5.
Dickson K, Caravati E. Hydrogen peroxide exposure–325 exposures reported to a regional poison control center. J Toxicol Clin Toxicol. 1994;32(6):705-714. [PubMed]
6.
Hatten B, French L, Horowitz B, Hendrickson R. Outcomes After High-Concentration Peroxide Ingestions. Ann Emerg Med. 2017;69(6):726-736.e2. [PubMed]
Author information
The post ACMT Toxicology Visual Pearls: Abnormal Brain Imaging appeared first on ALiEM.