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Successful Resuscitation of a Patient with Life-Threatening Metabolic Acidosis by Hemodialysis: A Case of Ethylene Glycol Intoxication
المؤلفون المشاركون
Shimada, Michiko
Nakamura, Norio
Narita, Ikuyo
Murakami, Reiichi
Fujita, Takeshi
Fukuda, Wakako
Tomita, Hirofumi
المصدر
العدد
المجلد 2017، العدد 2017 (31 ديسمبر/كانون الأول 2017)، ص ص. 1-4، 4ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2017-07-25
دولة النشر
مصر
عدد الصفحات
4
التخصصات الرئيسية
الملخص EN
Background.
Ethylene glycol intoxication causes severe metabolic acidosis and acute kidney injury.
Fomepizole has become available as its antidote.
Nevertheless, a prompt diagnosis is not easy because patients are often unconscious.
Here we present a case of ethylene glycol intoxication who successfully recovered with prompt hemodialysis.
Case Presentation.
A 52-year-old Japanese male was admitted to a local hospital due to suspected food poisoning.
The patient presented with nausea and vomiting, but his condition rapidly deteriorated, with worsening conscious level, respiratory distress requiring mechanical ventilation, hypotension, and severe acute kidney injury.
He was transferred to the university hospital; hemodialysis was initiated because of hyperkalemia and severe metabolic acidosis.
On recovering consciousness, he admitted having ingested antifreeze solution.
Thirty-seven days after admission, the patient was discharged without requiring HD.
Conclusions.
We reported a case of ethylene glycol intoxication who presented with a life-threatening metabolic acidosis.
In a state of severe circulatory shock requiring catecholamines, hemodialysis should be avoided, and continuous hemodiafiltration may be a preferred approach.
However, one should be aware of the possibility of intoxication by unknown causes, and hemodialysis could be life-saving with its superior ability to remove toxic materials in such cases.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Narita, Ikuyo& Shimada, Michiko& Nakamura, Norio& Murakami, Reiichi& Fujita, Takeshi& Fukuda, Wakako…[et al.]. 2017. Successful Resuscitation of a Patient with Life-Threatening Metabolic Acidosis by Hemodialysis: A Case of Ethylene Glycol Intoxication. Case Reports in Nephrology،Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1147035
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Narita, Ikuyo…[et al.]. Successful Resuscitation of a Patient with Life-Threatening Metabolic Acidosis by Hemodialysis: A Case of Ethylene Glycol Intoxication. Case Reports in Nephrology No. 2017 (2017), pp.1-4.
https://search.emarefa.net/detail/BIM-1147035
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Narita, Ikuyo& Shimada, Michiko& Nakamura, Norio& Murakami, Reiichi& Fujita, Takeshi& Fukuda, Wakako…[et al.]. Successful Resuscitation of a Patient with Life-Threatening Metabolic Acidosis by Hemodialysis: A Case of Ethylene Glycol Intoxication. Case Reports in Nephrology. 2017. Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1147035
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1147035
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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