There are increasing reports of methanol poisoning (MP)
incidence worldwide. In Malaysia, the largest first methanol
poisoning was reported in Selangor in 2013 with a total of 41
patients and cluster of cases been reported from the country
since then. Often MP involved adulterated alcohol containing
more than the legal permissible concentration of methanol.
Methanol is rapidly absorbed and metabolised into formic acid
which causes variable symptoms of the central nervous system
such as blindness, seizure, coma and gastrointestinal
disturbances. Mortality could reach up to 83% as reported
using the coma state, pH and pCO2 level in the worst-case
scenario.