Intentional infantile ethylene glycol poisoning presenting as an inherited metabolic disorder.
A 6-month-old girl was hospitalized on three occasions for irritability, vomiting, acidosis, and hypotonia. During the third hospitalization hyperglycinemia and urinary glycolic acid were detected. Ethylene glycol was discovered in the infant's blood and bottled formula. Clinicians must consider ethylene glycol intoxication as a cause of recurrent infantile metabolic acidosis.
Woolf
A D
AD
Program in Clinical Pharmacology and Toxicology, Children's Hospital, Boston, Massachusetts.
Wynshaw-Boris
A
A
Rinaldo
P
P
Levy
H L
HL
D000138:Acidosis / Q000139:chemically induced / Q000175:diagnosis; D003951:Diagnostic Errors; D019855:Ethylene Glycol; D005026:Ethylene Glycols / Q000032:analysis / Q000506:poisoning*; D005260:Female; D006801:Humans; D007223:Infant; D008661:Metabolism, Inborn Errors / Q000175:diagnosis*; D011041:Poisoning / Q000175:diagnosis
D005026:Ethylene Glycols; D019855:Ethylene Glycol