[Poisoning with methanol and carbamates]

Area of Science:

• Toxicology
• Pediatric Medicine
• Emergency Medicine

Background:

• Intentional poisonings in children are rare but serious.
• Methanol and carbamate poisonings present distinct, potentially overlapping, clinical features.

Observation:

• An 11-year-old boy presented with simultaneous intentional poisoning by methanol and carbamates.
• The patient exhibited a biphasic clinical course, reflecting the combined effects of both toxins.

Findings:

• The biphasic presentation complicated diagnosis and management.
• Treatment involved gastrointestinal decontamination, sodium bicarbonate, atropine, ethanol, and hemodialysis.

Implications:

• This case highlights the challenges in managing co-exposures to different toxic agents.
• Effective treatment requires prompt recognition and tailored interventions for each toxin.