The Claim
In a 44-year-old man with severe alcohol use disorder, concurrent ingestion of isopropyl alcohol and alcoholic ketoacidosis resulted in severe anion gap metabolic acidosis with an osmolar gap of 37.1 mOsm/kg, elevated acetone (62 mg/dL), and isopropanol (21 mg/dL), which resolved rapidly after hemodialysis.
What the research says
Supports is higher
Support is ahead, but a single strong opposing study can change this.
These are independent scores, not a percentage. Higher-grade studies count more, so a single strong opposing study can outweigh several weaker ones.
A man with severe alcohol use disorder developed a severe metabolic acidosis with elevated levels of acetone and isopropanol after consuming isopropyl alcohol alongside alcohol, and this condition was rapidly reversed by hemodialysis.
See the scientific wording
In a 44-year-old man with severe alcohol use disorder, concurrent ingestion of isopropyl alcohol and alcoholic ketoacidosis produced a severe anion gap metabolic acidosis with an osmolar gap of 37.1 mOsm/kg, elevated acetone (62 mg/dL), and isopropanol (21 mg/dL), which resolved rapidly after hemodialysis, demonstrating that the combination of these two metabolic disturbances can lead to an unusually severe and atypical acid-base disorder.
A person who drinks alcohol heavily and then swallows rubbing alcohol has both toxins in the blood. The liver turns the rubbing alcohol into acetone, which builds up because the liver and kidneys are damaged from long-term drinking. This acetone adds to the ketones already made from alcohol withdrawal, making the blood extremely acidic. The rubbing alcohol itself also floats in the blood, raising the osmolar gap. Dialysis removes both the acetone and the rubbing alcohol, quickly fixing the acidosis.
What the research says
1 studyA man who drank too much alcohol for a long time also accidentally drank rubbing alcohol, which made his blood extremely acidic. Doctors found the toxins in his blood and cleaned them out with dialysis, and he got better quickly. The study proves this rare and dangerous combo can happen.
Score breakdown, mechanism chain, raw evidence, ideal studies needed & 1 supporting studies
Not medical advice. For informational purposes only. Always consult a qualified healthcare professional before making health decisions.