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A 46-year-old woman presented to our hospital with acute-onset vomiting and altered mental status. She had a history of depression with an episode of antipsychotic drug overdose 10 years ago. On arrival, she was comatose and had a strong wood creosote-like smell. Her physical examination revealed miosis, discoloration and blisters on her face without oropharyngeal mucosal erosion. She continuously excreted black urine for a day, …
Contributors All authors looked after the patient. MH and AK wrote the draft. All authors approved the submission of the current manuscript. AK serves as a guarantor for this article.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Written informed consent was obtained.
Provenance and peer review Not commissioned; internally peer reviewed.
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