Lactic Acidosis with Elevated Osmolal Gap after Ingestion of a Lighter Fluid Containing Dipropylene Glycol Monomethyl Ether (DPGME), a Case Report

[1] Agrawal VK, Bansal A, Kumar R, et al. Potassium permanganate toxicity: a rare case with difficult airway management and hepatic damage. Indian J Crit Care Med. 2014;18(12):819–821. [2] Middleton SJ, Jacyna M, McClaren D, et al. Haemorrhagic pancreatitis-a cause of death in severe potassium permanganate poisoning. Postgrad Med J. 1990;66(778):657–658. [3] Young RJ, Critchley JA, Young KK, et al. Fatal acute hepatorenal failure following potassium permanganate ingestion. Hum Exp Toxicol. 1996;15(3):259–261. [4] Ong KL, Tan TH, Cheung WL. Potassium permanganate poisoning-a rare cause of fatal self poisoning. J Accid Emerg Med. 1997; 14(1):43–45. [5] Younan L, Eloubeidi M, Barada K. A rare cause of caustic gastric injury in a young man. Gastroenterology. 2013;145(1):60–260. Khin Sam Monash Clinical Toxicology Unit, Emergency Medical Service, Monash Health, Clayton, Australia Monash Emergency Research Collaborative, Department of Medicine, School of Clinical Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, Dandenong, Australia Emergency Department, Dandenong Hospital, Monash Health, Clayton, Australia khin.sam@monashhealth.org