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This report presents the case of a patient whose inhalation exposure to benzyl alcohol led to clinical manifestations similar to toluene intoxication, including sudden altered mental status, metabolic acidosis, hypokalemia, hypophosphatemia, and hyperammonemia. Toxicity from benzyl alcohol inhalation is quite rare, and hyperammonemia associated with renal tubular dysfunction in poisoning cases has not been reported in the past. Copyright © 2022 The Authors. Published by Elsevier Inc. All rights reserved.


Mai Inada, Hisaaki Kato, Hirohito Maruyama, Eriko Okada, Fuminobu Imai, Shinji Inada. Toxic benzyl alcohol inhalation: Altered mental status with metabolic acidosis and hyperammonemia. The American journal of emergency medicine. 2022 Jul;57:234.e3-234.e5

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PMID: 35466010

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