Treatment of severe ethylene glycol intoxication with continuous arteriovenous hemofiltration dialysis.

Ethylene glycol is the major component of many antifreeze solutions and its metabolites may cause severe intoxication. Treatment involves correction of metabolic acidosis, ethanol administration and enhancement of elimination. The most commonly used elimination technique is hemodialysis but peritoneal dialysis has also been described. We report a case of severe ethylene glycol poisoning with multiple organ dysfunction. Treatment with continuous arteriovenous hemofiltration dialysis was associated with a favorable outcome and might be an alternative to hemodialysis in similar cases of circulatory instability or in situations where hemodialysis is unavailable.