Severe ARDS Complicating an Acute Intentional Cresol Poisoning

Area of Science:

• Toxicology
• Emergency Medicine
• Critical Care

Background:

• Cresol, a phenol derivative disinfectant, poses significant toxicity risks.
• Intoxication can lead to severe gastrointestinal, central nervous system, cardiovascular, renal, and hepatic injury.

Observation:

• A female patient ingested an unknown quantity of cresol, presenting with tachypnea and hypoxemia.
• Endoscopy revealed esophageal and gastric erosions; however, hepatic and renal dysfunction did not develop.
• The patient required mechanical ventilation for seven days.

Findings:

• Cresol intoxication can be fatal, potentially causing acute respiratory distress syndrome (ARDS).
• Despite initial severity, this patient recovered with intensive supportive care, highlighting the importance of critical care interventions.
• The case underscores the potential for severe respiratory compromise in cresol poisoning.

Implications:

• Aggressive intensive care is vital for managing potentially fatal cresol poisoning.
• Early respiratory support and monitoring are critical for improving outcomes.
• This case emphasizes the need for comprehensive management strategies in toxicological emergencies.