This week’s NEJM Case Records is an Emergency Department & Toxicology patient – I won’t ruin the final diagnosis for you – who uses a mysterious South American alcoholism cure to attempt to rehabilitate himself after a night of heavy drinking.
Obviously, it wouldn’t be a case report if the patient in question didn’t end up in the ICU! There are nice, educational discussions of several toxodromes, antidotes, and various options for preventing end-organ damage in a subset of uncommonly seen poisonings.
“Case 22-2012: A 34-Year-Old Man with Intractable Vomiting after Ingestion of an Unknown Substance“
http://www.ncbi.nlm.nih.gov/pubmed/22808962