Thus, on the basis of the severity of patient's metabolic acidosis, the possibility of ingestion of toxic alcohols such as methanol, ethylene glycol, isopropanol was considered.
Our patient vehemently denied intake of toxic alcohols, and, hence, his blood toxicology screen was not sent as these tests are not routinely available in our hospital.
His blood for toxic alcohol screen was not sent as the test is not available in our hospital.
2 mmol/L) and there was no history of toxic alcohol intake, in the presence of high urinary ketones, following a binge alcohol drinking, the only explanation was that this patient experienced associated AKA.
An exercise in estimating the concentration of toxic alcohols and glycols is given, and the literature on poisoning with this unusual but commonly encountered intoxicant is briefly reviewed.
Propylene glycol, which is not normally considered in this differential, should be, because it causes the same biochemical abnormalities as the other toxic alcohols and glycols listed in the mnemonic.
The clinical presentation and laboratory findings of a patient with PG toxicity are essentially identical to those of patients poisoned with more toxic alcohols and glycols.
Testing for acetaminophen, salicylates, iron, co-oximetry, iron, and toxic alcohols is discussed in Parts III and IV.
Recommendations for Specific Analysis of Ethyl Alcohol and Other Toxic Alcohols
Ethanol is also used as a therapeutic drug for patients with toxic alcohol intoxications and for ethanol withdrawal syndrome.
Toxic alcohol ingestions: clinical features, diagnosis, and management.
This case of a patient with ethylene glycol poisoning illustrates the difficulty of diagnosing the ingestion of this toxic alcohol.