Fomepizole (4-methylpyrazole, Antizol) is being increasingly used in the tr
eatment of ethylene glycol toxicity in adults. Little experience exists wit
h this drug, however, in the pediatric population. We present a case of eth
ylene glycol poisoning in a child where use of fomepizole averted intraveno
us ethanol infusion and hemodialysis, limited the duration of intensive car
e monitoring, and decreased the overall cost of treatment.