TREATMENT OF SEVERE ETHYLENE-GLYCOL INTOXICATION WITH CONTINUOUS ARTERIOVENOUS HEMOFILTRATION DIALYSIS

Ethylene glycol is the major component of many antifreeze solutions an d its metabolites may cause severe intoxication. Treatment involves co rrection of metabolic acidosis, ethanol administration and enhancement of elimination. The most commonly uc;ed elimination technique is hemo dialysis but peritoneal dialysis has also been described. We report a case of severe ethylene glycol poisoning with multiple organ dysfuncti on. Treatment with continuous arteriovenous hemofiltration dialysis wa s associated with a favorable outcome and might be an alternative to h emodialysis in similar cases of circulatory instability or in situatio ns where hemodialysis is unavailable.