18 October 2022
: Case report 
Metolachlor Poisoning with Lactic Acidosis Improved by Thiamine Administration: A Case Report
Unusual clinical course, Unusual or unexpected effect of treatment
Akira Suekane12ABCDE*, Masato Edamoto3BCDEF, Keisuke Kubo24DEF, Tomohiro Abe
24CDEF, Keita Nakatsutsumi 1DEF, Tatsunori Ameda23DEF
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) | 10.2 | T-Bil (mg/dl) | 1.09 | |
| MCHC (%) | 33.7 | AST (U/L) | 25 | |
| MCV (%) | 100 | ALT (U/L) | 22 | |
| HCT (%) | 51.8 | LD (U/L) | 296 | |
| Hb (g/dl) | 17.4 | ALP (U/L) | 378 | |
| RBC (×10/μl) | 5.16 | γGTP (U/L) | 39 | |
| Plt (×10/μl) | 222 | S-Amy (U/L) | 89 | |
| Nuet (%) | 73.1 | CK (U/L) | 97 | |
| Lym (%) | 21.8 | Glucose (mg/dl) | 328 | |
| PT-INR | 0.87 | Sodium (mmol/L) | 141 | |
| APTT | 23.1 | Potassium (mmol/L) | 3.26 | |
| Fibrinogen (mg/dl) | 331.3 | Calcium (mg/dl) | 9.6 | |
| D-dimer (μg/ml) | 0.7 | Chorole (mmol/L) | 100 | |
| BUN (mg/dl) | 18.2 | |||
| Creatinine (mg/dl) | 1.11 | |||
| CRP (mg/dl) | 0.1 | |||
| Blood gas | Urinalysis | Detection Item | ||
| pH | 7.191 | MET | Methamphetamine | Negative |
| pO2 (mmHg) | 172 | THC | Cannabis | Negative |
| pCO2 (mmHg) | 39.4 | COC | Cocaine | Negative |
| HCO3 (mEq/L) | 14.5 | BZD | Benzodiazepines | Negative |
| Lactate (mmol/L) | 11.8 | BAR | Barbiturates | Negative |
| Methemoglobin (%) | 0.9 | TCA | Tricyclic antidepressants | Negative |
| MOR | Morphine | Negative |