ArticleAME case reports2026
Alcohol consumption "fuels" dimethyl sulfate vapor poisoning: a case report of three patients.
Article in AME case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
5 authors.
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Abstract
Background: Dimethyl sulfate (DMS), (CH Case Description: We present three patients with acute DMS vapor poisoning following occupational exposure. Notably, two patients consumed approximately 100 mL of 53% vol liquor (baijiu) after exposure and experienced a marked exacerbation of ocular pain, photophobia, corneal epithelial defects, and respiratory symptoms. In contrast, the third patient, who did not drink alcohol, had initially similar or even more severe symptoms but showed a faster and more stable recovery without exacerbation. This clinical divergence strongly suggests that ethanol intake amplified the chemical injury, likely through proinflammatory and metabolic pathways. Conclusions: Alcohol consumption may worsen DMS poisoning and delay recovery. Clinicians should advise patients with known or suspected DMS exposure to avoid alcohol. This recommendation should be integrated into discharge instructions and occupational safety protocols. Further studies are needed to clarify the underlying mechanisms and to confirm this clinically relevant interaction.
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