Hypokalemic muscular paralysis causing acute respiratory failure due to rhabdomyolysis with renal tubular acidosis in a chronic glue sniffer

Case Report: A 34-year-old male was admitted to the emergency department wi th the development of quadriparesis and respiratory failure due to hypokale mia after prolonged glue sniffing, The patient was subsequently given mecha nical ventilatory support for respiratory failure. He was weaned from the v entilator 4 days later after potassium replacement. Toluene is an aromatic hydrocarbon found in glues, cements, and solvents, It is known to be toxic to the nervous system, hematopoietic system, and causes acid-base and elect rolyte disorders. Acute respiratory failure with hypokalemia and rhabdomyol ysis with acute renal failure should be considered as potential events in a protracted glue sniffing.