Citation

Darchy B, Abruzzese L, Pitiot O, Figueredo B, Domart Y. Intensive Care Med. 1999; 25(8): 859-861.

Affiliation

Service de Réanimation Médico-chirurgicale, Centre Hospitalier, 8, avenue Henri Adnot, 60 200 Compiègne, France.

Copyright

(Copyright © 1999, Holtzbrinck Springer Nature Publishing Group)

DOI

unavailable

PMID

10447547

Abstract

In the absence of an immediately available serum ethylene glycol (EG) assay, the diagnosis of EG poisoning is usually based on anamnesis, clinical findings and presence of metabolic acidosis with elevated serum anion gap, elevated serum osmol gap, hypocalcemia and crystalluria. We report two cases of EG poisoning, both presenting without an elevated serum osmol gap and we discuss conditions which facilitate such a presentation, especially delayed hospital admission. Finally, we confirm the fact that determination of the osmol gap can fail as a screen for EG poisoning.

Language: en