Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Apr;13(3):375-383.
doi: 10.1007/s11739-018-1799-9. Epub 2018 Feb 9.

Toxic Alcohol Diagnosis and Management: An Emergency Medicine Review


Toxic Alcohol Diagnosis and Management: An Emergency Medicine Review

Patrick Chow Yuen Ng et al. Intern Emerg Med. .

Erratum in


Toxic alcohols are a group of substances containing a hydroxyl group not meant to be ingested. They are the cause of a significant number of accidental and non-accidental exposures. Toxic alcohol poisoning can be associated with a significant degree of morbidity and mortality if not promptly recognized and treated. This review describes the clinical presentation and an approach to the recognition and management for toxic alcohol poisoning. Toxic alcohols classically refer to a group of alcohols not meant for ingestion. Methanol, ethylene glycol, and isopropyl alcohol are readily available in common hardware and household materials. Toxic alcohols are ingested for a variety of reasons including accidental exposures, intentional inebriation, homicide and suicide. The patient with an altered mental status or concerning history warrants consideration of this potentially deadly ingestion. Treatment considerations include alcohol dehydrogenase blockade and hemodialysis. Toxic alcohol poisoning can be an elusive diagnosis. This review evaluates toxic alcohol poisoning signs and symptoms and an approach to diagnosis and management.

Keywords: Alcohol; Ethylene glycol; Fomepizole; Hemodialysis; Isopropyl alcohol; Methanol; Toxic alcohol.

Comment in

Similar articles

See all similar articles

Cited by 2 articles


    1. J Clin Med Res. 2017 Feb;9(2):163-169 - PubMed
    1. J Burn Care Res. 2017 Sep/Oct;38(5):e872-e876 - PubMed
    1. Clin Toxicol (Phila). 2006;44(3):315-8 - PubMed
    1. Mil Med. 2016 Nov;181(11):e1666-e1668 - PubMed
    1. Br J Clin Pharmacol. 2016 Mar;81(3):505-15 - PubMed

MeSH terms

LinkOut - more resources