A Case of Chronic Ethylene Glycol Intoxication Presenting without Classic Metabolic Derangements. (21st August 2014)

• Record Type: Journal Article
• Authors: Toth-Manikowski, Stephanie M.; Menn-Josephy, Hanni; Bhatia, Jasvinder
• Other Names: Chiu Yen-Ling Academic Editor.
• Is Part Of: Case reports in nephrology. Volume 2014(2014)
• Publication Date: 2014-08-21
• Subjects: Nephrology -- Periodicals; Kidneys -- Diseases -- Periodicals; Nephrology; Kidneys -- Diseases; Nephrology; Periodicals; Electronic journals; Periodicals; 616.61
• DOI: 10.1155/2014/128145
• Languages: English
• ISSNs: 2090-6641

Abstract

Abstract : 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.