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18 October 2022: Articles

Metolachlor Poisoning with Lactic Acidosis Improved by Thiamine Administration: A Case Report

Unusual clinical course, Unusual or unexpected effect of treatment

Akira Suekane ** , Masato Edamoto * , Keisuke Kubo D , Tomohiro Abe C , Keita Nakatsutsumi D , Tatsunori Ameda D

DOI: 10.12659/AJCR.937873

Am J Case Rep 2022; 23:e937873

Table 1. Laboratory findings on admission.

Blood test
White blood cell (×10/μl)10.2T-Bil (mg/dl)1.09
MCHC (%)33.7AST (U/L)25
MCV (%)100ALT (U/L)22
HCT (%)51.8LD (U/L)296
Hb (g/dl)17.4ALP (U/L)378
RBC (×10/μl)5.16γGTP (U/L)39
Plt (×10/μl)222S-Amy (U/L)89
Nuet (%)73.1CK (U/L)97
Lym (%)21.8Glucose (mg/dl)328
PT-INR0.87Sodium (mmol/L)141
APTT23.1Potassium (mmol/L)3.26
Fibrinogen (mg/dl)331.3Calcium (mg/dl)9.6
D-dimer (μg/ml)0.7Chorole (mmol/L)100
BUN (mg/dl)18.2
Creatinine (mg/dl)1.11
CRP (mg/dl)0.1
Blood gasUrinalysisDetection Item
pH7.191METMethamphetamineNegative
pO2 (mmHg)172THCCannabisNegative
pCO2 (mmHg)39.4COCCocaineNegative
HCO3 (mEq/L)14.5BZDBenzodiazepinesNegative
Lactate (mmol/L)11.8BARBarbituratesNegative
Methemoglobin (%)0.9TCATricyclic antidepressantsNegative
MORMorphineNegative

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923