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An Unusual Case of Carbon Monoxide Poisoning from Formic and Sulfuric Acid Mixture

  • Author(s): Ershad, Muhammed
  • Melislotis, Athanasios
  • Kelly, Matthew
  • Hamilton, Richard
  • et al.
Abstract

Formic acid, when combined with sulfuric acid, gets dehydrated to form carbon monoxide (CO). A 27-year-old female was found unconscious inside a car, next to a container with a mixture of sulfuric acid and formic acid. Concentrations of up to 400 parts per million of CO were measured inside the car post ventilation. Serum carboxyhemoglobin level was 15% after receiving 100% oxygen for two hours. The patient received hyperbaric oxygen therapy after which she was extubated with normal mental status. On follow-up after three months, she demonstrated neurocognitive abnormalities suggestive of delayed neurological sequelae from CO exposure.

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