Indian Journal of Forensic Medicine & Toxicology

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Profile of Fatal Methyl Alcohol Poisoning Outbreak - A Medicolegal Autopsy Case Study


Affiliations
1 Department of Forensic Medicine & Toxicology, 3rd Floor A wing, New Medical College Building, Padmashree Dr. D.Y. Patil Medical College, Hospital & Research Centre, Sector 5, Nerul (East), Navi Mumbai, India
2 Department of Forensic Medicine, Indira Gandhi Medical College, Nagpur, Maharashtra, India
3 Department of Forensic Medicine, TNMC and BYL Nair Hospital, Mumbai Central, India
4 Department of Forensic Medicine, Seth GS Medical College and KEM Hospital, Parel, India
5 Department of Forensic Medicine, NDMVP Samaj's Medical College, Nashik, Maharashtra, India
     

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A total 41 cases with the history of consumption of illicit liquor were brought to BYL Nair Hospital in the month of December 2004. Out of total 41 cases referred, 17 survived (41.46%), while 20 patients died in the hospital after admission (48.78%) and 4 cases (9.75%) were brought dead. A complete medicolegal autopsy was conducted on these 24 victims. Among the admitted cases CNS symptoms were predominantly presenting complaints. Among the fatal admitted cases, blurring of vision was seen in 60% while dimness of vision was noted in 70% of cases. The common histopathological changes observed were cerebral oedema/congestion (100%), alveolar oedema (95.83%) and haemorrhages (83.33%), fatty change (83.33%), cirrhosis of liver (8.33%), glomerular sclerosis (50%) and hydropic changes in kidney (62.50%). The average blood ethyl alcohol and methyl alcohol levels were 87.40 mg% and 69.52% respectively. The predominant cause of death was metabolic acidosis and respiratory failure/coma in 20 cases (83.33%).

Keywords

Illicit Liquor, Blurring/Dimness of Vision, Methyl Alcohol, Medicolegal Autopsy
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  • PC Dikshit. Textbook of Forensic Medicine and Toxicology. First edition. Peepee Publishers and Distributors (P) Ltd; 2007. 522 – 542.

  • Hovda KE, Mundal H, Urdal P, McMartin K, and Jacobsen D. Extremely slow formate elimination in several methanol poisoning: a fatal case report. Clin Toxicol (Phila) 2007; 45 (5): 516-521.

  • Barceloux DG, Bond GR, Krenzelok EP, Cooper H, Vale JA. American Academy of Clinical Toxicology Practice guidelines on the treatment of methanol poisoning. J Toxicol Clin Toxicol 2002; 40 (4): 415-416.

  • Henderson WR, Brubacher J. Methanol and Ethyle glycol poisoning a case study and review of current literature. CJEM 2002; 4 (1): 34-40.

  • Hantson PA. Acute methanol intoxication: Physiopathology, Prognosis and Treatment. Bull Mem Acad R Med Belg 2006; 161 (6): 425-434.

  • Azmak D. Methanol related deaths in Edirne. Legal Medicine 2006; 8 (1): 39-42.

  • Ravichandran RR, Dudani RA, Almeida AF, Chawla KP, Acharya VN. Methyl alcohol poisoning (experience of an outbreak in Bombay). J Postgrad Med 1984; 30 (2): 69-74.

  • Mittal BV, Desai AP, Khade KR. Methyl alcohol poisoning: An autopsy study of 28 cases. J Postgrad Med 1991; 37 (1): 9-13.

  • Imad M. Abdallat, Mumen S Hadidi, Nadia Rashid and Kamal A Hadidi. Outbreak of methanol fatalities in Jordan. Journal of Bahrain Medical Society 2009; 21 (3): 283-286.

  • Yayci N, Agritmis H, Turla A, Koc S. Fatalities due to methyl alcohol intoxication in Turkey: An 8 year study. Forensic Sci Int 2003; 131: 36-41.

  • Liu JJ, Daya MR and Mann NC. Methanol-Related Deaths in Ontario. J Toxicol Clin Toxicol 1999; 37 (1): 69-73.

  • KS Narayan Reddy. The Essentials of Forensic Medicine and Toxicology. In Ch 30 –CNS Depressant. 29th edition. K Suguna Devi; 2010: 508-532.

  • Krishan Vij. Textbook of Forensic Medicine and Toxicology. In Ch 38 – Alcohol and Alcoholism. 5th edition. Elseiver publication; 2011: 495-505.

  • SS Kumar, K Seerala Boopathy, ME Bhaskar. Methanol Poisoning – A Chennai Experience. JAPI April 2003; Vol 51, 425-426.


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  • Profile of Fatal Methyl Alcohol Poisoning Outbreak - A Medicolegal Autopsy Case Study

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Authors

Amit M. Patil
Department of Forensic Medicine & Toxicology, 3rd Floor A wing, New Medical College Building, Padmashree Dr. D.Y. Patil Medical College, Hospital & Research Centre, Sector 5, Nerul (East), Navi Mumbai, India
Satin K. Meshram
Department of Forensic Medicine, Indira Gandhi Medical College, Nagpur, Maharashtra, India
Rajesh D. Kharat
Department of Forensic Medicine, TNMC and BYL Nair Hospital, Mumbai Central, India
S. C. Mohite
Department of Forensic Medicine, TNMC and BYL Nair Hospital, Mumbai Central, India
Walter F. Vaz
Department of Forensic Medicine, Seth GS Medical College and KEM Hospital, Parel, India
Rajesh B. Sukhadeve
Department of Forensic Medicine, Seth GS Medical College and KEM Hospital, Parel, India
Ajay T. Shendarkar
Department of Forensic Medicine, NDMVP Samaj's Medical College, Nashik, Maharashtra, India

Abstract


A total 41 cases with the history of consumption of illicit liquor were brought to BYL Nair Hospital in the month of December 2004. Out of total 41 cases referred, 17 survived (41.46%), while 20 patients died in the hospital after admission (48.78%) and 4 cases (9.75%) were brought dead. A complete medicolegal autopsy was conducted on these 24 victims. Among the admitted cases CNS symptoms were predominantly presenting complaints. Among the fatal admitted cases, blurring of vision was seen in 60% while dimness of vision was noted in 70% of cases. The common histopathological changes observed were cerebral oedema/congestion (100%), alveolar oedema (95.83%) and haemorrhages (83.33%), fatty change (83.33%), cirrhosis of liver (8.33%), glomerular sclerosis (50%) and hydropic changes in kidney (62.50%). The average blood ethyl alcohol and methyl alcohol levels were 87.40 mg% and 69.52% respectively. The predominant cause of death was metabolic acidosis and respiratory failure/coma in 20 cases (83.33%).

Keywords


Illicit Liquor, Blurring/Dimness of Vision, Methyl Alcohol, Medicolegal Autopsy

References