Document Detail

Ethylene glycol ingestion masked by concomitant ethanol intoxication.
MedLine Citation:
PMID:  22605713     Owner:  NLM     Status:  MEDLINE    
An obtunded male with a history of alcohol abuse presented to the emergency department with metabolic acidosis, an osmolar gap and lactic acidosis. The patient was initially treated for alcohol intoxication due to an extremely high blood alcohol level. Following respiratory failure and intubation, a large volume of dark green liquid was removed via nasogastric suction; bedside fluorescence for ethylene glycol was negative. Twenty-four hours later, the patient's glomerular filtration rate decreased significantly, serum osmolality was 807, the osmolar gap was 407, complete metabolic panel showed pH of 6.8, sodium of 156 mmol/l, potassium of 7.3 mmol/l, chloride of 116, CO(2) of 3.9 and anion gap of 30.7. Blood lactic acid was >56 mmol/l. The patient received emergency haemodialysis. Four days after presentation, the patient began to respond to voice commands and was extubated. Currently, the patient still receives haemodialysis due to ongoing renal failure, but no long-term neurologic complications are evident.
Justin M Head
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2012-03-20
Journal Detail:
Title:  BMJ case reports     Volume:  2012     ISSN:  1757-790X     ISO Abbreviation:  BMJ Case Rep     Publication Date:  2012  
Date Detail:
Created Date:  2012-05-18     Completed Date:  2013-02-12     Revised Date:  2014-03-28    
Medline Journal Info:
Nlm Unique ID:  101526291     Medline TA:  BMJ Case Rep     Country:  England    
Other Details:
Languages:  eng     Pagination:  -     Citation Subset:  IM    
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MeSH Terms
Acid-Base Equilibrium
Acidosis, Lactic
Alcoholic Intoxication / diagnosis*,  therapy*
Diagnosis, Differential
Ethylene Glycol / poisoning*
Middle Aged
Poisoning / diagnosis*,  therapy*
Renal Dialysis
Reg. No./Substance:
FC72KVT52F/Ethylene Glycol

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

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