Brugada Phenocopy Induced by a Lethal Methanol Intoxication

  • Monterrubio-Villar Jesús Intensive Care Unit, Hospital Don Benito-Villanueva, Badajoz, Spain
  • Llinares-Moya David Intensive Care Unit, Hospital Don Benito-Villanueva, Badajoz, Spain

Keywords

Immunocompetent, lymphoma, central nervous system, Zoster virus

Abstract

Brugada phenocopies (BrP) are clinical entities that present with an ECG pattern identical to either the type 1 or type 2 Brugada pattern without true congenital Brugada syndrome. This ECG pattern is associated with an identifiable condition and normalizes upon resolution or treatment of the underlying cause. We present a case of a 54-year-old man with extreme metabolic acidosis, hyperkalaemia and a Brugada type 1 ECG pattern in the setting of a suicidal methanol (MeOH) poisoning. Upon correction of these metabolic derangements with bicarbonate infusions and continuous veno-venous haemodiafiltration (CVVH), the Brugada type 1 ECG pattern normalized. Unfortunately, the patient developed signs of cerebral herniation followed by brain death and died on the first day of ICU admission.

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  • Published: 2020-01-23

    Issue: Vol 7 No 2 (view)

    Section: Articles

    How to cite:
    1.
    Jesús M-V, David L-M. Brugada Phenocopy Induced by a Lethal Methanol Intoxication. EJCRIM [Internet]. 2020Jan.23 [cited 2020Sep.25];7(2). Available from: https://www.ejcrim.com/index.php/EJCRIM/article/view/1374

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