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Reminder of important clinical lesson
CASE REPORT
Sequential episodes of ethylene glycol poisoning in the same person
  1. Jaya Prakash Sugunaraj1,
  2. Lokendra Kumar Thakur2,
  3. Kunal Kishor Jha2,
  4. Ion Dan Bucaloiu3
  1. 1Pulmonary & Critical Care Medicine, Geisinger Medical Center, Danville, Pennsylvania, USA
  2. 2Critical Care Medicine, Geisinger Medical Center, Danville, Pennsylvania, USA
  3. 3Nephrology, Geisinger Medical Center, Danville, Pennsylvania, USA
  1. Correspondence to Dr Kunal Kishor Jha, kunaljhamd{at}gmail.com

Summary

Ethylene glycol is a common alcohol found in many household products such as household hard surface cleaner, paints, varnish, auto glass cleaner and antifreeze. While extremely toxic and often fatal on ingestion, few cases with early presentation by the patient have resulted in death; thus, rapid diagnosis is paramount to effectively treating ethylene glycol poisoning. In this study, we compare two sequential cases of ethylene glycol poisoning in a single individual, which resulted in strikingly different outcomes.

  • poisoning
  • adult intensive care
  • dialysis
  • acute renal failure

https://doi.org/10.1136/bcr-2017-220108

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    Footnotes

    • Contributors JPS, KKJ, LKT and IDB assembled the case history and investigations from hospital records, analysed the data and wrote the paper. Other authors Julia L Leddy, Mark A Kleman, Jessita S Natasha Dhas & Mohammed Mogri equally contributed in drafting this paper.

    • Competing interests None declared.

    • Patient consent Consent obtained from next of kin.

    • Provenance and peer review Not commissioned; externally peer reviewed.