Treatment of Ethylene Glycol Poisoning with Oral Ethyl Alcohol

Ethylene glycol poisoning is not uncommon in India. The ill effects are primarily caused by its toxic metabolites: glycolic acid and oxalic acid. A 70-year-old female presented to our hospital with ataxia after ingestion of ethylene glycol. The reported case describes the management of ethylene glyc...

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Main Authors: B. Achappa, D. Madi, T. Kanchan, N. K. Kishanlal
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2019/7985917
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author B. Achappa
D. Madi
T. Kanchan
N. K. Kishanlal
author_facet B. Achappa
D. Madi
T. Kanchan
N. K. Kishanlal
author_sort B. Achappa
collection DOAJ
description Ethylene glycol poisoning is not uncommon in India. The ill effects are primarily caused by its toxic metabolites: glycolic acid and oxalic acid. A 70-year-old female presented to our hospital with ataxia after ingestion of ethylene glycol. The reported case describes the management of ethylene glycol poisoning using oral ethyl alcohol as an alternative to the recommended intravenous ethyl alcohol and fomepizole that are not available for use in India. The need for high degree of clinical suspicion, targeted investigations, and early instigation of treatment is of prime importance in cases of ethylene glycol poisoning as it can lead to long-term complications or even death.
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institution Kabale University
issn 1687-9627
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language English
publishDate 2019-01-01
publisher Wiley
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series Case Reports in Medicine
spelling doaj-art-c1a16d3ea1454ebb8d0bcda0e361a8be2025-02-03T06:05:11ZengWileyCase Reports in Medicine1687-96271687-96352019-01-01201910.1155/2019/79859177985917Treatment of Ethylene Glycol Poisoning with Oral Ethyl AlcoholB. Achappa0D. Madi1T. Kanchan2N. K. Kishanlal3Associate Professor, Department of Internal Medicine, Kasturba Medical College, Manipal Academy of Higher Education, Mangalore, IndiaAssociate Professor, Department of Internal Medicine, Kasturba Medical College, Manipal Academy of Higher Education, Mangalore, IndiaAssociate Professor, Department of Forensic Medicine & Toxicology, All India Institute of Medical Sciences, Jodhpur, IndiaSenior Resident, Department of Internal Medicine, Kasturba Medical College, Manipal Academy of Higher Education, Mangalore, IndiaEthylene glycol poisoning is not uncommon in India. The ill effects are primarily caused by its toxic metabolites: glycolic acid and oxalic acid. A 70-year-old female presented to our hospital with ataxia after ingestion of ethylene glycol. The reported case describes the management of ethylene glycol poisoning using oral ethyl alcohol as an alternative to the recommended intravenous ethyl alcohol and fomepizole that are not available for use in India. The need for high degree of clinical suspicion, targeted investigations, and early instigation of treatment is of prime importance in cases of ethylene glycol poisoning as it can lead to long-term complications or even death.http://dx.doi.org/10.1155/2019/7985917
spellingShingle B. Achappa
D. Madi
T. Kanchan
N. K. Kishanlal
Treatment of Ethylene Glycol Poisoning with Oral Ethyl Alcohol
Case Reports in Medicine
title Treatment of Ethylene Glycol Poisoning with Oral Ethyl Alcohol
title_full Treatment of Ethylene Glycol Poisoning with Oral Ethyl Alcohol
title_fullStr Treatment of Ethylene Glycol Poisoning with Oral Ethyl Alcohol
title_full_unstemmed Treatment of Ethylene Glycol Poisoning with Oral Ethyl Alcohol
title_short Treatment of Ethylene Glycol Poisoning with Oral Ethyl Alcohol
title_sort treatment of ethylene glycol poisoning with oral ethyl alcohol
url http://dx.doi.org/10.1155/2019/7985917
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AT dmadi treatmentofethyleneglycolpoisoningwithoralethylalcohol
AT tkanchan treatmentofethyleneglycolpoisoningwithoralethylalcohol
AT nkkishanlal treatmentofethyleneglycolpoisoningwithoralethylalcohol