title: A Case of Chronic Ethylene Glycol Intoxication Presenting without Classic Metabolic Derangements.
abstract: Acute ethylene glycol ingestion classically presents with high anion gap acidosis, elevated osmolar gap, altered mental status, and acute renal failure. However, chronic ingestion of ethylene glycol is a challenging diagnosis that can present as acute kidney injury with subtle physical findings and without the classic metabolic derangements. We present a case of chronic ethylene glycol ingestion in a patient who presented with acute kidney injury and repeated denials of an exposure history. Kidney biopsy was critical to the elucidation of the cause of his worsening renal function.
authors.affiliation: Department of Medicine, Boston Medical Center, 72 East Concord Street, Evans 124, Boston, MA 02118, USA.
authors.forename: Stephanie M
authors.initials: SM
authors.lastname: Toth-Manikowski
authors.affiliation: Renal Section, Boston University School of Medicine, 650 Albany Street, Rm 504, Boston, MA 02118, USA.
authors.forename: Hanni
authors.initials: H
authors.lastname: Menn-Josephy
authors.affiliation: Renal Section, Boston University School of Medicine, 650 Albany Street, Rm 504, Boston, MA 02118, USA.
authors.forename: Jasvinder
authors.identifier: 0000-0003-1094-2213
authors.initials: J
authors.lastname: Bhatia