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: 2020: Vol 7 No 2 (view)

    How to cite:
    1.
    Jesús M-V, David L-M. Brugada Phenocopy Induced by a Lethal Methanol Intoxication. EJCRIM 2020;7 doi:10.12890/2020_001374.