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A Case of Chronic Ethylene Glycol Intoxication Presenting without Classic Metabolic Derangements
Acute ethylene glycol ingestion classically presents with high anion gap acidosis, elevated osmolar gap, altered mental status, and acute renal failure. However, chronic ingestion of ethylene glycol is a challenging diagnosis that can present as acute kidney injury with subtle physical findings and...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4158266/ https://www.ncbi.nlm.nih.gov/pubmed/25215251 http://dx.doi.org/10.1155/2014/128145 |
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author | Toth-Manikowski, Stephanie M. Menn-Josephy, Hanni Bhatia, Jasvinder |
author_facet | Toth-Manikowski, Stephanie M. Menn-Josephy, Hanni Bhatia, Jasvinder |
author_sort | Toth-Manikowski, Stephanie M. |
collection | PubMed |
description | Acute ethylene glycol ingestion classically presents with high anion gap acidosis, elevated osmolar gap, altered mental status, and acute renal failure. However, chronic ingestion of ethylene glycol is a challenging diagnosis that can present as acute kidney injury with subtle physical findings and without the classic metabolic derangements. We present a case of chronic ethylene glycol ingestion in a patient who presented with acute kidney injury and repeated denials of an exposure history. Kidney biopsy was critical to the elucidation of the cause of his worsening renal function. |
format | Online Article Text |
id | pubmed-4158266 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-41582662014-09-11 A Case of Chronic Ethylene Glycol Intoxication Presenting without Classic Metabolic Derangements Toth-Manikowski, Stephanie M. Menn-Josephy, Hanni Bhatia, Jasvinder Case Rep Nephrol Case Report Acute ethylene glycol ingestion classically presents with high anion gap acidosis, elevated osmolar gap, altered mental status, and acute renal failure. However, chronic ingestion of ethylene glycol is a challenging diagnosis that can present as acute kidney injury with subtle physical findings and without the classic metabolic derangements. We present a case of chronic ethylene glycol ingestion in a patient who presented with acute kidney injury and repeated denials of an exposure history. Kidney biopsy was critical to the elucidation of the cause of his worsening renal function. Hindawi Publishing Corporation 2014 2014-08-21 /pmc/articles/PMC4158266/ /pubmed/25215251 http://dx.doi.org/10.1155/2014/128145 Text en Copyright © 2014 Stephanie M. Toth-Manikowski et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Toth-Manikowski, Stephanie M. Menn-Josephy, Hanni Bhatia, Jasvinder A Case of Chronic Ethylene Glycol Intoxication Presenting without Classic Metabolic Derangements |
title | A Case of Chronic Ethylene Glycol Intoxication Presenting without Classic Metabolic Derangements |
title_full | A Case of Chronic Ethylene Glycol Intoxication Presenting without Classic Metabolic Derangements |
title_fullStr | A Case of Chronic Ethylene Glycol Intoxication Presenting without Classic Metabolic Derangements |
title_full_unstemmed | A Case of Chronic Ethylene Glycol Intoxication Presenting without Classic Metabolic Derangements |
title_short | A Case of Chronic Ethylene Glycol Intoxication Presenting without Classic Metabolic Derangements |
title_sort | case of chronic ethylene glycol intoxication presenting without classic metabolic derangements |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4158266/ https://www.ncbi.nlm.nih.gov/pubmed/25215251 http://dx.doi.org/10.1155/2014/128145 |
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