Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 55 5 2017 07 11 348 351 EN Hamid Mohammadi Kojidi Department of Forensic Medicine, School of Medicine, Razi Teaching Hospital, Guilan University of Medical Sciences, Rasht, Iran. Morteza Rahbar Taramsari Department of Forensic Medicine, School of Medicine, Razi Teaching Hospital, Guilan University of Medical Sciences, Rasht, Iran. Alireza Badsar Department of Forensic Medicine, School of Medicine, Razi Teaching Hospital, Guilan University of Medical Sciences, Rasht, Iran. Mirsaeed Attarchi Department of Forensic Medicine, Inflammatory Lung Disease Research Center, Guilan University of Medical Sciences, Rasht, Iran. 2016 02 22 2016 10 10 A 51-year-old man committed suicide by swallowing the contents of a fire extinguisher. A few hours after his suicide attempt, he was referred to the medical center for poisoning. At the time of admission, the patient was conscious with stable vital signs. The patient complained of burning lips and mouth, mentioning diarrhea. Initial treatments included gastric lavage with activated charcoal, while paraclinical measures were requested. The patient had undergone hypernatremia (Na: 152 mEq/l) and metabolic alkalosis. Treatment focused on the adjustment of sodium level and alkalosis. On the first day of hospitalization, the patient experienced recurrent episodes of tonic-clonic seizure along with the loss of consciousness. On the third day of hospitalization, the patient developed respiratory arrest followed by cardiac arrest and death. https://acta.tums.ac.ir/index.php/acta/article/view/5462 https://acta.tums.ac.ir/index.php/acta/article/download/5462/4943