Korean J Nephrol.  2005 Nov;24(6):1039-1043.

A Case of Ethylene Glycol Poisoning with Metabolic Acidosis Treated with Hemodialysis

Affiliations
  • 1Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea. kwangyou@unitel.co.kr

Abstract

We present a case of ethylene glycol poisoning with high anion gap metabolic acidosis. A 71 year-old female patient was transferred to our hospital after ingesting 450 mL of anti-freeze. At arrival she showed high anion gap metabolic acidosis with pH 7.035, PaCO2 7.2 mmHg, PaO2 117.5 mmHg, HCO3 - 1.9 mmol/L and anion gap 32 mmol/L. Calcium oxalate crystals were identified on urine microscopy. Bicarbonate treatment did not improve her metabolic acidosis, and oliguric acute renal failure was developed. So she was treated with hemodialysis. After the hemodialysis treatment her metabolic acidosis was corrected and her renal function was improved. She was discharged on the 22nd day.

Keyword

Ethylene glycol; High anion gap; Metabolic acidosis; Calcium oxalate crystal; Hemodialysis

MeSH Terms

Acid-Base Equilibrium
Acidosis*
Acute Kidney Injury
Aged
Calcium Oxalate
Ethylene Glycol*
Female
Humans
Hydrogen-Ion Concentration
Microscopy
Poisoning*
Renal Dialysis*
Calcium Oxalate
Ethylene Glycol
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