RT Journal Article
SR Electronic
T1 Fatal ethylene glycol intoxication
JF Cleveland Clinic Journal of Medicine
JO Cleve Clin J Med
FD Cleveland Clinic
SP 289
OP 295
VO 54
IS 4
A1 Verrilli, Michael R.
A1 Deyling, Cynthia L.
A1 Pippenger, C. E.
A1 Van Lente, Frederick
A1 Vidt, Donald G.
A1 Sivak, Edward D.
YR 1987
UL http://www.ccjm.org/content/54/4/289.abstract
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.