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KMID : 0604020100250030176
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Korean Journal of Critical Care Medicine
2010 Volume.25 No. 3 p.176 ~ p.181
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A Case of Uremic Pericarditis and Cardiac Tamponade That Developed after Ethylene Glycol Poisoning
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Kim Ki-Ju
Park Jung-Gil
Ryu Han-Jun
Jung Yeoun-Su
Kim Sung-Ho
Lee Bong-Ryeol
Jung Byung-Chun
Kang Hyun-Jae
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Abstract
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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.
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KEYWORD
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uremic pericarditis, cardiac tamponade, ethylene glycol, acute renal failure
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