Lactate gap as a tool in identifying ethylene glycol poisoning

A. S. Sagar; Carlos A. Jimenez; Brandy J. McKelvy

doi:10.1136/bcr-2018-224243

Lactate gap as a tool in identifying ethylene glycol poisoning

A. S. Sagar, Carlos A. Jimenez, Brandy J. McKelvy

Pulmonary Medicine

Research output: Contribution to journal › Article › peer-review

7 Scopus citations

Abstract

Ethylene glycol toxicity is a known cause of anion gap metabolic acidosis, with the presence of an osmolar gap and the right clinical context suggesting to the diagnosis. Rapid recognition and early treatment is crucial. Unfortunately, ethylene glycol levels are not readily available and must be performed at a reference laboratory. We present a case where recognising the significance of the 'lactate gap' assisted in identifying ethylene glycol poisoning.

Original language	English (US)
Article number	224243
Journal	BMJ Case Reports
Volume	2018
DOIs	https://doi.org/10.1136/bcr-2018-224243
State	Published - 2018

Keywords

adult intensive care
poisoning

ASJC Scopus subject areas

General Medicine

Access to Document

10.1136/bcr-2018-224243

Cite this

@article{8409af2414ba4fe684623da6142c98df,

title = "Lactate gap as a tool in identifying ethylene glycol poisoning",

abstract = "Ethylene glycol toxicity is a known cause of anion gap metabolic acidosis, with the presence of an osmolar gap and the right clinical context suggesting to the diagnosis. Rapid recognition and early treatment is crucial. Unfortunately, ethylene glycol levels are not readily available and must be performed at a reference laboratory. We present a case where recognising the significance of the 'lactate gap' assisted in identifying ethylene glycol poisoning.",

keywords = "adult intensive care, poisoning",

author = "Sagar, {A. S.} and Jimenez, {Carlos A.} and McKelvy, {Brandy J.}",

year = "2018",

doi = "10.1136/bcr-2018-224243",

language = "English (US)",

volume = "2018",

journal = "BMJ Case Reports",

issn = "1757-790X",

publisher = "BMJ Publishing Group",

}

TY - JOUR

T1 - Lactate gap as a tool in identifying ethylene glycol poisoning

AU - Sagar, A. S.

AU - Jimenez, Carlos A.

AU - McKelvy, Brandy J.

PY - 2018

Y1 - 2018

N2 - Ethylene glycol toxicity is a known cause of anion gap metabolic acidosis, with the presence of an osmolar gap and the right clinical context suggesting to the diagnosis. Rapid recognition and early treatment is crucial. Unfortunately, ethylene glycol levels are not readily available and must be performed at a reference laboratory. We present a case where recognising the significance of the 'lactate gap' assisted in identifying ethylene glycol poisoning.

AB - Ethylene glycol toxicity is a known cause of anion gap metabolic acidosis, with the presence of an osmolar gap and the right clinical context suggesting to the diagnosis. Rapid recognition and early treatment is crucial. Unfortunately, ethylene glycol levels are not readily available and must be performed at a reference laboratory. We present a case where recognising the significance of the 'lactate gap' assisted in identifying ethylene glycol poisoning.

KW - adult intensive care

KW - poisoning

UR - http://www.scopus.com/inward/record.url?scp=85043595269&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85043595269&partnerID=8YFLogxK

U2 - 10.1136/bcr-2018-224243

DO - 10.1136/bcr-2018-224243

M3 - Article

C2 - 29525762

AN - SCOPUS:85043595269

SN - 1757-790X

VL - 2018

JO - BMJ Case Reports

JF - BMJ Case Reports

M1 - 224243

ER -

Lactate gap as a tool in identifying ethylene glycol poisoning

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this