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J Korean Soc Emerg Med > Volume 8(4); 1997 > Article
Journal of The Korean Society of Emergency Medicine 1997;8(4): 611-616.
Recovery of Acute Renal Failure Secondaruy to Ethylene Glycol Intoxicity
Woon Jeung Lee, Kyu Nam Park, Won Jae Lee, Eun Young Yoo, Kwan Mo Yang, Byung Ho Nah, Tae Wook Kwon, Du Young Hwang, Hwan Yi, Se Kyung Kim
ABSTRACT
Ethylene glycol is a sweet-tasting liquid with industrial use as a solvent or as a starting reagent in chemical processes. Physicians are familiar with ethylene glycol because it is the major component of many antifreeze solutions and is taken in suicide attempts or, more often inadvertency. its metabolites may cause severe intoxication. Unfortunately, its metabolites are highly toxic and require rapid treatment Treatment involves correction of metabolic acidosis, ethanol administration and enhancement of elimination. The most commonly used elimination technique is hemodialysis We describe an 21-year-old man with acute renal failure due to ingestion of antifreeze that contained ethylene glycol. He was transferred to our hospital because of aggressive management The recovery of our patient with severe ethylene glycol intoxication illustrates that aggressive and early treatment can prevent mortality and morbidity.
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