TY - JOUR PY - 2015// TI - Refractory status epilepticus, serious rhabdomyolysis, acute liver injury, and pancytopenia after a massive intake of ethyl methanesulfonate: a case report JO - International journal of clinical and experimental medicine A1 - Yamazaki, Hiroyuki A1 - Tajima, Shogo A1 - Takeuchi, Takahiro SP - 16863 EP - 16867 VL - 8 IS - 9 N2 - Ethyl methanesulfonate is a mutagenic, alkylating agent and considered harmful to humans at levels greater than a certain threshold; however, the toxicity at high doses remains unclear. We report a case of a Japanese man who presented with status epilepticus, rhabdomyolysis, pancytopenia, and hair loss after accidental ingestion of a massive amount of ethyl methanesulfonate. The patient completely recovered with critical care, including multiple antiepileptic drugs, renal replacement therapy, blood transfusion, granulocyte colony-stimulating factor therapy, and antibacterial/fungal prophylaxis. The case indicates that ethyl methanesulfonate causes neurotoxicity, hepatotoxicity, hematotoxicity, and renal toxicity, which can be successfully treated with appropriate palliative therapies.

Language: en

LA - en SN - 1940-5901 UR - http://dx.doi.org/ ID - ref1 ER -