TA-CHEN SULin P.-H.MING-JANG CHIUTZONG-SHINN CHUChang M.J.W.Wang J.-D.TSUN-JEN CHENG2020-09-282020-09-2820000731-3810https://www.scopus.com/inward/record.uri?eid=2-s2.0-0033929165&doi=10.1081%2fCLT-100100953&partnerID=40&md5=fd9385bfbc769fd2a675f211ca6bca66https://scholars.lib.ntu.edu.tw/handle/123456789/514919CASE REPORT: A 27-year-old man, employed by a synthetic fiber company, had been exposed to dimethylacetamide, ethylenediamine, and diphenylmethane diisocyanate in a confined space continuously for 4-6 hours per day for 3 days before admission. Hallucinations and delusions were noted at admission; pulmonary edema developed subsequently. The electroencephalogram showed diffuse moderate cortical dysfunction and slow waves at 4-7 Hz, 20-80 microV. Seizures, liver injury, and rhabdomyolysis were noted on the 4th hospital day. The patient was treated by hemoperfusion with a decrease in urine dimethylacetamide from 3,265 mg/g to 4 mg/g creatinine over 4 days. Serial urinary dimethylacetamide and electroencephalogram correlated with the clinical condition.[SDGs]SDG3journal article10.1081/CLT-100100953109300602-s2.0-0033929165