Jurnal Internasional Afrika vol. 11 issue 1 2021
African Journal of Emergency Medicine
Ethylene glycol poisoning: A diagnostic challenge in a patient with persistent seizures and a severe metabolic acidosis
Dublin Core
Title
Jurnal Internasional Afrika vol. 11 issue 1 2021
African Journal of Emergency Medicine
Ethylene glycol poisoning: A diagnostic challenge in a patient with persistent seizures and a severe metabolic acidosis
African Journal of Emergency Medicine
Ethylene glycol poisoning: A diagnostic challenge in a patient with persistent seizures and a severe metabolic acidosis
Subject
Ethylene glycol poisoning
Toxic alcohols
High anion gap metabolic acidosis
Status epilepticus
Case report
Toxic alcohols
High anion gap metabolic acidosis
Status epilepticus
Case report
Description
South Africa, several cases of toxic alcohol ingestion presented to our emergency unit. Many of these patients
admitted to making home brews of alcohol while others simply use industrial toxic alcohols. The diagnosis of
these poisonings is challenging as direct assays are not available in our setting.
Case report: We present a case of presumed ethylene glycol poisoning that presented with persistent seizures and
a high anion gap metabolic acidosis (HAGMA).
Discussion: A high index of suspicion for toxic alcohol poisoning should be maintained in patients presenting with
an altered mental status, seizures and a HAGMA. Indirect markers such as clinical features and laboratory results
can lead to the diagnosis when direct assays are unavailable.
admitted to making home brews of alcohol while others simply use industrial toxic alcohols. The diagnosis of
these poisonings is challenging as direct assays are not available in our setting.
Case report: We present a case of presumed ethylene glycol poisoning that presented with persistent seizures and
a high anion gap metabolic acidosis (HAGMA).
Discussion: A high index of suspicion for toxic alcohol poisoning should be maintained in patients presenting with
an altered mental status, seizures and a HAGMA. Indirect markers such as clinical features and laboratory results
can lead to the diagnosis when direct assays are unavailable.
Creator
Almien Smit , Vidya Lalloo, Andreas Engelbrecht
Source
www.elsevier.com/locate/afjem
Publisher
ELSEVIER
Date
22 October 2020
Contributor
PERI IRAWAN
Format
PDF
Language
ENGLISH
Type
TEXT
Files
Citation
Almien Smit , Vidya Lalloo, Andreas Engelbrecht, “Jurnal Internasional Afrika vol. 11 issue 1 2021
African Journal of Emergency Medicine
Ethylene glycol poisoning: A diagnostic challenge in a patient with persistent seizures and a severe metabolic acidosis,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/2611.
African Journal of Emergency Medicine
Ethylene glycol poisoning: A diagnostic challenge in a patient with persistent seizures and a severe metabolic acidosis,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/2611.