J Appl Biomed 20:80-82, 2022 | DOI: 10.32725/jab.2022.007

Damin imk1, Viktor Voek2, Martin Jakl3, * 1University Hospital in Hradec Krlov, Department of Emergency Medicine, Hradec Krlov, Czech Republic 2University Hospital in Hradec Krlov, Institute of Clinical Biochemistry and Diagnostics, Hradec Krlov, Czech Republic 3University of Defence, Faculty of Military Health Sciences, Department of Military Internal Medicine and Military Hygiene, Hradec Krlov, Czech Republic

Background: Unexpected accidental intoxication by uncommon industrial substances is a rare, but challenging and perilous event. To our best knowledge, this is the first reported case of 3,4',5,6'-tetra-tert-butylbiphenyl-2,3'-diol intoxication.

Case report: A 20-year-old man was referred to the Department of Emergency Medicine after seven days of nausea and vomiting triggered by drinking mead. Very high doses of 3,4',5,6'-tetra-tert-butylbiphenyl-2,3'-diol were detected in mead, blood, and urine samples. To prove the intoxication, gas chromatography - ion trap was performed. Symptoms of intoxication persisted for two weeks without significant organ damage. The case report illustrates the need for a multistep approach, focused mainly on the analysis of possible sources of intoxication.

Keywords: Alimentary intoxication; Butylbiphenyl intoxication; Toxicology Grants and funding:

The work was supported by the Ministry of Defence of the Czech Republic “Long Term Development Plan – Clinical Fields” of the Faculty of Military Health Sciences Hradec Krlov, University of Defence, Czech Republic.

Conflicts of interest:

We confirm that there is no known conflict of interests associated with this publication. The manuscript contains no copyrighted material.

imk D, Voek V, Jakl M. Rare case of alimentary butylbiphenyl intoxication. J Appl Biomed. 2022;20(2):80-82. doi:10.32725/jab.2022.007.