title: Unusual clinical presentation of ethylene glycol poisoning: unilateral facial nerve paralysis.
abstract: Ethylene glycol (EG) may be consumed accidentally or intentionally, usually in the form of antifreeze products or as an ethanol substitute. EG is metabolized to toxic metabolites. These metabolites cause metabolic acidosis with increased anion gap, renal failure, oxaluria, damage to the central nervous system and cranial nerves, and cardiovascular instability. Early initiation of treatment can reduce the mortality and morbidity but different clinical presentations can cause delayed diagnosis and poor prognosis. Herein, we report a case with the atypical presentation of facial paralysis, hematuria, and kidney failure due to EG poisoning which progressed to end stage renal failure and permanent right peripheral facial nerve palsy.
authors.affiliation: Department of Internal Medicine, Erciyes University Medical School, Melikgazi, 38039 Kayseri, Turkey.
authors.forename: Eray
authors.initials: E
authors.lastname: Eroglu
authors.forename: Ismail
authors.initials: I
authors.lastname: Kocyigit
authors.forename: Sami
authors.initials: S
authors.lastname: Bahcebasi
authors.forename: Aydin
authors.initials: A
authors.lastname: Unal
authors.forename: Murat Hayri
authors.initials: MH
authors.lastname: Sipahioglu
authors.forename: Merva
authors.initials: M
authors.lastname: Kocyigit
authors.forename: Bulent
authors.initials: B
authors.lastname: Tokgoz
authors.forename: Oktay
authors.initials: O
authors.lastname: Oymak