RT Journal Article
SR Electronic
T1 Antifreeze on a freezing morning: ethylene glycol poisoning in a 2-year-old
JF BMJ Case Reports
FD BMJ Publishing Group Ltd
SP bcr0720114509
DO 10.1136/bcr.07.2011.4509
VO 2012
A1 Hann, Gayle
A1 Duncan, Dana
A1 Sudhir, Gopakumar
A1 West, Peter
A1 Sohi, Dalbir
YR 2012
UL http://casereports.bmj.com/content/2012/bcr.07.2011.4509.abstract
AB This case report describes the presentation and management of a 2-year-old child who ingested a potentially fatal amount of ethylene glycol (EG). There are few published cases worldwide of EG poisoning in children managed with fomepizole. All cases described in the literature were managed in a paediatric intensive care unit. In this case, the child presented irritable, pale and confused with high anion gap metabolic acidosis. As there were no paediatric intensive care beds available in the region, the child was successfully managed in a high dependency area in our district general hospital. The child fully recovered and was discharged home in 7 days. The authors believe that multi-disciplinary team management and the use of fomepizole contributed to the positive outcome and this case raised many useful learning points.