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Hiemstra TF, Bellamy CO, Hughes JH. Coal tar creosote abuse by vapour inhalation presenting with renal impairment and neurotoxicity: a case report. J Med Case Rep. 2007;1:102doi: 10.1186/1752-1947-1-102.
Hiemstra, T. F., Bellamy, C. O., & Hughes, J. H. (2007). Coal tar creosote abuse by vapour inhalation presenting with renal impairment and neurotoxicity: a case report. Journal of medical case reports, 1102. https://doi.org/10.1186/1752-1947-1-102
Hiemstra, Thomas F, et al. "Coal tar creosote abuse by vapour inhalation presenting with renal impairment and neurotoxicity: a case report." Journal of medical case reports vol. 1 (2007): 102. doi: https://doi.org/10.1186/1752-1947-1-102
Hiemstra TF, Bellamy CO, Hughes JH. Coal tar creosote abuse by vapour inhalation presenting with renal impairment and neurotoxicity: a case report. J Med Case Rep. 2007 Sep 24;1:102. doi: 10.1186/1752-1947-1-102. PMID: 17892538; PMCID: PMC2045105.
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J Med Case Rep. 2007 Sep 24;1:102. doi: 10.1186/1752-1947-1-102.

Coal tar creosote abuse by vapour inhalation presenting with renal impairment and neurotoxicity: a case report.

Journal of medical case reports

Thomas F Hiemstra, Christopher Oc Bellamy, Jeremy H Hughes

Affiliations

  1. Addenbrookes Hospital, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge, CB2 2QQ, UK. [email protected].

PMID: 17892538 PMCID: PMC2045105 DOI: 10.1186/1752-1947-1-102

Abstract

A 56 year old aromatherapist presented with advanced renal failure following chronic coal tar creosote vapour inhalation, and a chronic tubulo-interstitial nephritis was identified on renal biopsy. Following dialysis dependence occult inhalation continued, resulting in seizures, ataxia, cognitive impairment and marked generalised cerebral atrophy. We describe for the first time a case of creosote abuse by chronic vapour inhalation, resulting in significant morbidity. Use of the polycyclic aromatic hydrocarbon-containing wood preservative coal tar creosote is restricted by many countries due to concerns over environmental contamination and carcinogenicity. This case demonstrates additional toxicities not previously reported with coal tar creosote, and emphasizes the health risks of polycyclic aromatic hydrocarbon exposure.

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