1.
Korean Journal of Nephrology
;
: 1039-1043, 2005.
Artículo
en Coreano
| WPRIM
| ID: wpr-229198
RESUMEN
We present a case of ethylene glycol poisoning with high anion gap metabolic acidosis. A 71 year-old female patient was transferred to our hospital after ingesting 450 mL of anti-freeze. At arrival she showed high anion gap metabolic acidosis with pH 7.035, PaCO2 7.2 mmHg, PaO2 117.5 mmHg, HCO3 - 1.9 mmol/L and anion gap 32 mmol/L. Calcium oxalate crystals were identified on urine microscopy. Bicarbonate treatment did not improve her metabolic acidosis, and oliguric acute renal failure was developed. So she was treated with hemodialysis. After the hemodialysis treatment her metabolic acidosis was corrected and her renal function was improved. She was discharged on the 22nd day.