Ethylene glycol poisoning
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Ethylene glycol poisoning | |
---|---|
Synonyms | N/A |
Pronounce | N/A |
Specialty | N/A |
Symptoms | Nausea, vomiting, abdominal pain, central nervous system depression, metabolic acidosis, kidney failure |
Complications | Seizures, coma, death |
Onset | Symptoms may appear within 30 minutes to 12 hours after ingestion |
Duration | Variable, depending on the amount ingested and treatment |
Types | N/A |
Causes | Ingestion of ethylene glycol |
Risks | Accidental ingestion, suicide attempt, alcoholism |
Diagnosis | Blood tests, urinalysis, anion gap |
Differential diagnosis | Methanol poisoning, isopropanol poisoning, diabetic ketoacidosis |
Prevention | Proper storage and labeling of antifreeze products |
Treatment | Fomepizole, ethanol, hemodialysis, supportive care |
Medication | N/A |
Prognosis | Good with early treatment, poor if untreated |
Frequency | Rare |
Deaths | N/A |
Ethylene glycol poisoning is a type of poisoning that occurs when a person ingests ethylene glycol, a colorless, odorless, sweet-tasting, and highly toxic liquid commonly found in antifreeze, hydraulic brake fluids, and some detergents.
Causes
Ethylene glycol poisoning typically occurs through ingestion, often as a result of accidental or intentional consumption of products containing ethylene glycol. It can also occur through skin contact or inhalation, although these routes are less common.
Symptoms
The symptoms of ethylene glycol poisoning can be divided into three stages. The first stage, which occurs within a few hours of ingestion, includes symptoms such as nausea, vomiting, slurred speech, and incoordination. The second stage, which occurs 12 to 24 hours after ingestion, is characterized by rapid heart rate, high blood pressure, and rapid breathing. The third stage, which occurs 24 to 72 hours after ingestion, is characterized by kidney failure, which can lead to death if not treated promptly.
Diagnosis
Diagnosis of ethylene glycol poisoning is often based on a person's history of exposure to ethylene glycol and the presence of characteristic symptoms. Laboratory tests, including blood and urine tests, can also be used to confirm the diagnosis.
Treatment
Treatment for ethylene glycol poisoning typically involves the use of fomepizole or ethanol, which inhibit the metabolism of ethylene glycol into toxic metabolites. In severe cases, hemodialysis may be required to remove ethylene glycol and its metabolites from the body.
Prevention
Prevention of ethylene glycol poisoning involves proper storage and disposal of products containing ethylene glycol, as well as education about the dangers of ingesting these products.
See also
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Contributors: Kondreddy Naveen, Prab R. Tumpati, MD