Korean J Crit Care Med.  2010 Sep;25(3):176-181. 10.4266/kjccm.2010.25.3.176.

A Case of Uremic Pericarditis and Cardiac Tamponade That Developed after Ethylene Glycol Poisoning: A Case Report

Affiliations
  • 1Department of Internal Medicine, Daegu Fatima Hospital, Daegu, Korea. tangul8845@hanmail.net

Abstract

Ethylene glycol is commonly incorporated into automotive antifreeze agents and a variety of other commercial products. Ethylene glycol poisoning can cause life-threatening metabolic acidosis, cardiopulmonary failure, and renal failure that may be fatal. We present an unusual case of a patient who ingested a large amount of ethylene glycol for the purpose of suicide and developed multiorgan damage, including acute renal failure followed by uremic pericarditis and cardiac tamponade. This unusual complication was effectively managed with echocardiography-guided percutaneous pericardiocentesis and continuous catheter drainage for 3 days. After intensive hemodialysis and supportive care, the patient made a good recovery with near normal cardiac and renal function. Physicians should be aware of the possibility of acute pericarditis and cardiac tamponade in cases of acute renal failure caused by ethylene glycol poisoning.

Keyword

uremic pericarditis; cardiac tamponade; ethylene glycol; acute renal failure

MeSH Terms

Acidosis
Acute Kidney Injury
Cardiac Tamponade
Catheters
Drainage
Ethylene Glycol
Ethylenes
Humans
Pericardiocentesis
Pericarditis
Renal Dialysis
Renal Insufficiency
Suicide
Ethylene Glycol
Ethylenes
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