TABLE. Characteristics of patients admitted to health care facilities with methanol poisoning associated with ingestion of alcohol-based hand sanitizer products containing methanol — Arizona and New Mexico, May–June 2020.
Age (yrs) | Sex | Chief complaint(s)* | Serum methanol concentration (mg/dL) | Anion gap† (mEq/L) | Serum bicarbonate§ concentration (mEq/L) | Blood pH¶ | Treatment | Outcome |
---|---|---|---|---|---|---|---|---|
21 |
M |
Gastrointestinal |
44 |
30 |
6 |
7.15 |
4MP |
D/C, no sequelae |
30 |
M |
Visual disturbance |
35 |
43 |
11 |
N/A |
4MP |
D/C, no sequelae |
35 |
M |
Unresponsive, seizures |
198 |
49 |
<5 |
6.87 |
4MP |
Died |
36 |
M |
Decreased responsiveness |
>500 |
42 |
7 |
7.23 |
4MP, HD |
Remains hospitalized** |
38 |
M |
Gastrointestinal |
131 |
35 |
<5 |
6.81 |
4MP, HD, CRRT |
D/C, no sequelae |
38 |
F |
N/A |
21†† |
N/A |
N/A |
N/A |
4MP |
Died |
39 |
M |
Seizures, unconscious |
278 |
23 |
11 |
N/A |
4MP, HD |
Died |
40 |
M |
Dog bite |
319 |
35 |
<5 |
7.00 |
4MP, CRRT |
Remains hospitalized** |
44 |
M |
Visual disturbance, seizures |
97 |
32 |
<6 |
7.09 |
4MP, HD |
D/C with visual impairment |
47 |
M |
Headache, visual disturbance |
43 |
34 |
8 |
7.25 |
4MP, HD |
D/C with visual impairment |
50 |
M |
Visual disturbance |
410 |
22 |
9 |
6.70 |
4MP, CRRT |
Remains hospitalized** |
51 |
F |
Dyspnea |
42 |
23 |
6.2 |
7.14 |
4MP |
D/C with visual impairment |
54 |
M |
Media alert§§ |
56 |
17 |
13 |
N/A |
4MP |
D/C, no sequelae |
63 |
M |
Altered mental status |
548 |
30 |
11 |
7.12 |
4MP, HD |
Remains hospitalized** |
65 | M | Unresponsive, seizures, cardiac arrest | 308 | 31 | <5 | N/A | 4MP, HD, CRRT | Died |
Abbreviations: CRRT = continuous renal replacement therapy; D/C = discharged from hospital; F = female; HD = hemodialysis; M = male; mEq = milliequivalents; 4MP = fomepizole; N/A = not available.
* Chief complaint(s) directly came from medical records. Laboratory data were earliest recorded results.
† Normal = 3–10 mEq/L; elevated levels can indicate metabolic acidosis.
§ Normal = 22–28 mEq/L.
¶ Normal = 7.35–7.45.
** As of July 8, 2020.
†† 2 days after admission.
§§ Patient saw media report on alcohol-based hand sanitizers containing methanol and wanted to be evaluated by a medical professional.