PT  - JOURNAL ARTICLE
AU  - Verrilli, Michael R.
AU  - Deyling, Cynthia L.
AU  - Pippenger, C. E.
AU  - Van Lente, Frederick
AU  - Vidt, Donald G.
AU  - Sivak, Edward D.
TI  - Fatal ethylene glycol intoxication
DP  - 1987 Jul 01
TA  - Cleveland Clinic Journal of Medicine
PG  - 289--295
VI  - 54
IP  - 4
4099  - http://www.ccjm.org/content/54/4/289.short
4100  - http://www.ccjm.org/content/54/4/289.full
SO  - Cleve Clin J Med1987 Jul 01; 54
AB  - The authors describe a 27-year-old man with signs of acute ethylene glycol intoxication, including coma, absent pupillary reflexes, hypotonia, and hyporeflexia, plus laboratory evidence of a high-anion-gap metabolic acidosis, an osmolal gap, calcium oxalate monohydrate crystalluria, and elevated serum ethylene glycol levels. He failed to respond to sodium bicarbonate and ethanol therapy and died immediately before hemodialysis. The diagnosis, clinical presentation, pathophysiology, and treatment of acute ethylene glycol intoxication are reviewed.