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...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Nephrology |
| Online Access: | http://dx.doi.org/10.1155/2014/128145 |
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| _version_ | 1832549906982633472 |
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| author | Stephanie M. Toth-Manikowski Hanni Menn-Josephy Jasvinder Bhatia |
| author_facet | Stephanie M. Toth-Manikowski Hanni Menn-Josephy Jasvinder Bhatia |
| author_sort | Stephanie M. Toth-Manikowski |
| collection | DOAJ |
| 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 | Article |
| id | doaj-art-0ac56f88a22447339517e8ef0dc7812b |
| institution | Kabale University |
| issn | 2090-6641 2090-665X |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Nephrology |
| spelling | doaj-art-0ac56f88a22447339517e8ef0dc7812b2025-02-03T06:08:16ZengWileyCase Reports in Nephrology2090-66412090-665X2014-01-01201410.1155/2014/128145128145A Case of Chronic Ethylene Glycol Intoxication Presenting without Classic Metabolic DerangementsStephanie M. Toth-Manikowski0Hanni Menn-Josephy1Jasvinder Bhatia2Department of Medicine, Boston Medical Center, 72 East Concord Street, Evans 124, Boston, MA 02118, USARenal Section, Boston University School of Medicine, 650 Albany Street, Rm 504, Boston, MA 02118, USARenal Section, Boston University School of Medicine, 650 Albany Street, Rm 504, Boston, MA 02118, USAAcute 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.http://dx.doi.org/10.1155/2014/128145 |
| spellingShingle | Stephanie M. Toth-Manikowski Hanni Menn-Josephy Jasvinder Bhatia A Case of Chronic Ethylene Glycol Intoxication Presenting without Classic Metabolic Derangements Case Reports in Nephrology |
| 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 |
| url | http://dx.doi.org/10.1155/2014/128145 |
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