Adolescent Presents with Altered Mental Status and Elevated Anion Gap after Suicide Attempt by Ethylene Glycol Ingestion

Jessica C. Schoen, Meghan R. Cain, Jeffrey A. Robinson, Brenda M. Schiltz, Mark S. Mannenbach

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

We report the case of a 16-year-old healthy adolescent male who presented to the local emergency department with altered mental status. En route to a tertiary care facility, he began to decompensate and was found to be markedly acidotic. Further investigation revealed an elevated anion gap, and physical examination showed only abdominal pain and decreased level of consciousness. A broad differential diagnosis was considered at the time of the patient's presentation at the tertiary care center including ingestion of a volatile alcohol, sepsis, and an abdominal catastrophe. Although fomepizole and emergent dialysis were being initiated, laboratory tests confirmed ethylene glycol poisoning. This case demonstrates the importance of early recognition of potential ingestions in patients with altered mental status and supportive laboratory findings.

Original languageEnglish (US)
Pages (from-to)688-690
Number of pages3
JournalPediatric Emergency Care
Volume32
Issue number10
DOIs
StatePublished - Oct 1 2016

Keywords

  • antifreeze ingestion
  • ethylene glycol
  • metabolic acidosis
  • suicide attempt

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine

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