Letter to the Editor

Continuous Venovenous Hemodiafiltration in Severe Metabolic Acidosis Secondary to Ethylene Glycol Ingestion

Authors: Christopher Gilbert, DO, Michael Baram, MD, FCCP, Paul E. Marik, MD, FCCP

Abstract

To the Editor:


Ethylene glycol (EG) poisoning is uncommon, yet if unrecognized, potentially fatal. Treatment options for EG toxicity include correction of metabolic acidosis, fomepizole, hemodialysis, and supportive care.1 We present a unique case of severe metabolic acidosis secondary to EG and use of continuous venovenous hemodiafiltration (CVVHDF) over traditional hemodialysis, secondary to significant cerebral edema.

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References

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2. Hylander B, Kjellstrand CM. Prognostic factors and treatment of severe ethylene glycol intoxication. Intensive Care Med 1996;22: 546–552.
 
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4. Chang MY, Fang JT, Chen YC, et al. Continuous venovenous haemofiltration in hyperammonaemic coma of an adult with non-diagnosed partial ornithine transcarbamylase deficiency. Nephrol Dial Transplant 1999;14:1282–1284.
 
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