A case of ethylene glycol poisoning with good clinical outcome owing to rapid inter-hospital collaboration and emergency care

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  • SHINADA Kota
    Department of Emergency and Critical Care Medicine, Faculty of Medicine, Saga University
  • TOBITA Shuko
    Department of Pharmacy, Saga University Hospital
  • MATSUOKA Ayaka
    Department of Emergency and Critical Care Medicine, Faculty of Medicine, Saga University
  • NAKAYAMA Kento
    Department of Emergency and Critical Care Medicine, Faculty of Medicine, Saga University
  • SAKURAI Ryota
    Department of Emergency and Critical Care Medicine, Faculty of Medicine, Saga University
  • ASAHI Miho
    Department of Emergency and Critical Care Medicine, Faculty of Medicine, Saga University
  • YOSHITAKE Kunimasa
    Department of Emergency and Critical Care Medicine, Faculty of Medicine, Saga University
  • NARUMI Shogo
    Department of Emergency and Critical Care Medicine, Faculty of Medicine, Saga University
  • KOBA Mayuko
    Department of Emergency and Critical Care Medicine, Faculty of Medicine, Saga University
  • SAKAMOTO Yuichiro
    Department of Emergency and Critical Care Medicine, Faculty of Medicine, Saga University

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Other Title
  • 迅速な病院間連携と急性期治療により良好な転帰をたどったエチレングリコール中毒の1例
  • ジンソク ナ ビョウイン カン レンケイ ト キュウセイキ チリョウ ニ ヨリ リョウコウ ナ テンキ オ タドッタ エチレングリコール チュウドク ノ 1レイ

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Abstract

<p>A 34-year-old man ingested ethylene glycol during a suicide attempt and was admitted to a psychiatric hospital. The patient was transported to the nearest emergency center, where tests showed that the ingested dose of ethylene glycol was potentially lethal. The Advanced Emergency Center decided to accept the patient transported by Doctor Helicopter and procured fomepizole. Hemodialysis and fomepizole therapy were initiated after 6 hours following ethylene glycol ingestion. Metabolic acidosis was observed at the time of admission but improved after starting treatment. The patient was transferred to a psychiatric hospital on the seventh day of admission, without any renal impairment. Ethylene glycol poisoning can cause metabolic acidosis and acute tubular necrosis, which can be fatal if treatment is delayed. It is important to start intensive care as soon as possible through inter-hospital and intra-hospital multidisciplinary cooperation in order to save patients’ lives.</p>

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