Document Detail


Efficacy of 4-methylpyrazole in ethylene glycol poisoning: clinical and toxicokinetic aspects.
MedLine Citation:
PMID:  8198831     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Potentially fatal ethylene glycol intoxication in an adult with normal renal function was treated with 4-methylpyrazole administered three hours after the incident occurred. The plasma ethylene glycol concentration was 3.5 g l-1 on admission. The metabolic acidosis present on admission resolved within four hours, and the subsequent clinical course was uneventful. The apparent plasma half-life of ethylene glycol was 16 h and the mean renal and plasma clearances of ethylene glycol were 24 and 25 ml min-1, respectively. These results support the hypothesis that complete blockade of hepatic metabolism of ethylene glycol is achieved by 4-methylpyrazole. The only side-effect observed as a result of treatment was a transient slight increase in serum transaminase activity.
Authors:
P Harry; A Turcant; G Bouachour; P Houze; P Alquier; P Allain
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Human & experimental toxicology     Volume:  13     ISSN:  0960-3271     ISO Abbreviation:  Hum Exp Toxicol     Publication Date:  1994 Jan 
Date Detail:
Created Date:  1994-07-05     Completed Date:  1994-07-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9004560     Medline TA:  Hum Exp Toxicol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  61-4     Citation Subset:  IM    
Affiliation:
Centre Anti-Poisons-Réanimation Médicale, CHU, Angers, France.
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MeSH Terms
Descriptor/Qualifier:
Adult
Ethylene Glycol
Ethylene Glycols / blood,  poisoning*
Humans
Male
Poisoning / drug therapy
Pyrazoles / therapeutic use*
Chemical
Reg. No./Substance:
0/Ethylene Glycols; 0/Pyrazoles; 107-21-1/Ethylene Glycol; 7554-65-6/fomepizole

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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