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Medicina interna de México
versão impressa ISSN 0186-4866
Resumo
CACELIN-GARZA, JR e CACELIN-MIRANDA, RS. Intoxication due to ethylene glycol. Med. interna Méx. [online]. 2017, vol.33, n.2, pp.259-284. ISSN 0186-4866.
Ethylene glycol poisoning is a medical urgency and must be treated as so. Diagnosis can be achieved by metabolic acidosis with the pres ence of a wide anion gap, increase in serum osmalarity, cristalluria of calcium oxalate monohidrate and acute renal failure. It courses with three defined phases, although some authors identify a fourth phase. Ethanol can be used, associated to hemodyalisis, in the places where there is not availability for fomepizole or ethanol of parenteral administration.
Palavras-chave : ethylene glycol; ethanol; fomepizole; acute renal failure.