A Case of Ethylene Glycol Poisoning with Metabolic Acidosis Treated with Hemodialysis.
- Author:
Jong Oh BAE
1
;
Sang Gu KANG
;
Sung Min LIM
;
Eun Young LEE
;
Sang Gun CHO
;
Jung Hwa KIM
;
Kwang Young LEE
Author Information
1. Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea. kwangyou@unitel.co.kr
- Publication Type:Case Report
- Keywords:
Ethylene glycol;
High anion gap;
Metabolic acidosis;
Calcium oxalate crystal;
Hemodialysis
- MeSH:
Acid-Base Equilibrium;
Acidosis*;
Acute Kidney Injury;
Aged;
Calcium Oxalate;
Ethylene Glycol*;
Female;
Humans;
Hydrogen-Ion Concentration;
Microscopy;
Poisoning*;
Renal Dialysis*
- From:Korean Journal of Nephrology
2005;24(6):1039-1043
- CountryRepublic of Korea
- Language:Korean
-
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.
