@article{ref1,
title="Delayed autonomic neuropathy in a patient with diethylene glycol poisoning: a case report",
journal="Acute medicine and surgery",
year="2017",
author="Kamada, Hiroki and Suzuki, Hideaki and Yamamoto, Saori and Nomura, Ryosuke and Kushimoto, Shigeki",
volume="4",
number="3",
pages="326-328",
abstract="CASE: A 72-year-old man presented to our hospital after ingesting insecticide containing approximately 2 mL/kg diethylene glycol, which exceeded the lethal dose of 1 mL/kg. The patient recovered from critical symptoms on acute phase until day 3, but received artificial ventilation for muscle weakness secondary to sensorimotor neuropathy on days 11-54. OUTCOME: Even after marked improvement from sensorimotor neuropathy, the patient continued to complain of orthostatic hypotension. Autonomic neuropathy was identified by positive result of a head-up tilt test, and reduction in coefficient of variation of R-R intervals and cardiac iodine-123-metaiodobenzylguanidine uptake for the assessment of cardiac sympathetic activity. The patient's symptoms fully recovered 2 years after the exposure to diethylene glycol. <br><br>CONCLUSION: This case shows the first report of delayed autonomic neuropathy after recovery from severe sensorimotor neuropathy, and suggests the importance of continuous monitoring for late-onset neurological complications.<p /> <p>Language: en</p>",
language="en",
issn="2052-8817",
doi="10.1002/ams2.267",
url="http://dx.doi.org/10.1002/ams2.267"
}