Journal of The Korean Society of Clinical Toxicology (대한임상독성학회지)
- Volume 2 Issue 2
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- Pages.129-132
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- 2004
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- 1738-1320(pISSN)
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- 2508-6332(eISSN)
Treatment of Ethylene Glycol Poisoning Patient Presented with Mental Change
의식저하로 내원한 에틸렌 글리콜 중독 환자 1례
- Min Jin Hong (Department of Emergency Medicine, College of medicine, Chungnam National University) ;
- Lee Jang Young (Department of Emergency Medicine, College of medicine, Chungnam National University) ;
- Min Moon Gi (Department of Emergency Medicine, College of medicine, Chungnam National University) ;
- Chung Sung Pil (Department of Emergency Medicine, College of medicine, Chungnam National University) ;
- Kim Seung Whan (Department of Emergency Medicine, College of medicine, Chungnam National University) ;
- Yoo In Sool (Department of Emergency Medicine, College of medicine, Chungnam National University)
- 민진홍 (충남대학교 의과대학 응급의학교실) ;
- 이장영 (충남대학교 의과대학 응급의학교실) ;
- 민문기 (충남대학교 의과대학 응급의학교실) ;
- 정성필 (충남대학교 의과대학 응급의학교실) ;
- 김승환 (충남대학교 의과대학 응급의학교실) ;
- 유인술 (충남대학교 의과대학 응급의학교실)
- Published : 2004.12.01
Abstract
Ethylene glycol poisoning can cause profound morbidity and is almost universally fatal if untreated. Central nervous system depression, pulmonary edema, and acute oligulic renal failure with crystalluria are among the most commonly encountered complication of ingestion. Ingestion of ethylene glycol may be an important contributor in patients with metabolic acidosis and subsequent renal failure. The diagnosis of ethylene glycol poisoning is based on nonspecific clinical symptoms and signs and indirect and direct laboratory measurement of ethylene glycol. As a result, diagnosis and treatment sometimes can be delayed. We describe 52-year-old man who visited to emergency department with mental change of unknown origin. The patient has high anion gap metabolic acidosis and renal failure due to ingestion of antifreeze that contained ethylene glycol. We used hemodialysis for elimination technique. The patient was discharged with minimal complication.