Renal consequences of long-term, low-dose intentional ingestion of ethylene glycol.
Acute renal failure can result from a wide variety of causes. When the cause of acute renal failure is unclear, the history, physical examination, and laboratory findings are crucial to help establish the cause. However, the cause of acute renal failure may remain unclear even after gathering this information. In this report, we describe a case of acute chronic renal failure in which the cause of acute renal failure was not determined until a kidney biopsy was performed, which revealed calcium oxalate crystals in the renal parenchyma, a finding pathognomonic for ethylene glycol ingestion.
Desilva
Malini B
MB
Mayo Medical School, Rochester, Minnesota, USA. desilva.malini@mayo.edu
Mueller
Paul S
PS
D058186:Acute Kidney Injury / Q000139:chemically induced* / Q000473:pathology; D000328:Adult; D001707:Biopsy, Needle; D002129:Calcium Oxalate / Q000378:metabolism*; D016638:Critical Illness; D018450:Disease Progression; D004435:Eating; D004636:Emergency Service, Hospital; D019855:Ethylene Glycol / Q000506:poisoning*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007150:Immunohistochemistry; D007676:Kidney Failure, Chronic / Q000139:chemically induced / Q000473:pathology*; D007677:Kidney Function Tests; D006435:Renal Dialysis; D018570:Risk Assessment; D013406:Suicide, Attempted; D013997:Time Factors
D002129:Calcium Oxalate; D019855:Ethylene Glycol