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Methanol poisoning is a neuro-metabolic emergency that can cause severe metabolic acidosis, cerebral dysfunction, and death. Objective: To describe the factors associated with mortality in patients with methanol poisoning treated at a general hospital in Lima, Peru. Methods: A descriptive, case series study was conducted. It included patients admitted to the Intensive Care Unit of Hospital Nacional Cayetano Heredia with cerebral dysfunction and hyperlactatemia after ingesting the alcoholic beverage "Punto D Oro," between September and October 2022. Results: Thirteen patients were evaluated; 10 were male (77%), with an average age of  39 ± 6,96 years and a duration of illness of  3,5 ± 2,4 hours; 100% presented with blurred vision and altered sensorium; 81% had abdominal pain. The average APACHE II score was 19,5 ± 4,98 and the SOFA score was 11,3 ± 2,17; systolic ...
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Introduction: Shoshin Beriberi is a disease generated by thiamine deficiency and is characterized by acute fulminant cardiac dysfunction (1). Objective: To highlight cardiogenic shock and hyperlactacidemia in a patient with shoshin beriberi in an intensive care unit of a general hospital. Material and method: The information was taken from the electronic medical history of the intensive care unit (ICU) of the Cayetano Heredia National Hospital (HNCH) and from laboratory and image records. Case: 22-year-old female patient, with a history of anorexia nervosa, multisystem tuberculosis (TBC); with abdominal pain, vomiting, oral intolerance, prolonged fasting, received total parenteral nutrition (TPN) without thiamine intake and with hospitalization for 40 days on the general floor; Admission to the ICU in cardiogenic shock and hyperlactacidemia with serum lactate 13.8 mmol/L. With sepsis rul...