Unusual Calcium Oxalate Crystals in Ethylene Glycol Poisoning
William J. Godolphin, E. P. Meagher, H. D. Sanders, Jiri Frohlich
Abstract
William J. Godolphin, E. P. Meagher, H. D. Sanders, Jiri Frohlich
Abstract
A patient poisoned with ethylene glycol exhibited the symptoms of (1) hysteria, (2) metabolic acidosis with both a large anion gap and osmolal gap, and (3) crystalluria. However, the shape of the urinary crystals was prismatic and resembled hippurate rather than the expected dipyramidal calcium oxalate dihydrate. X-ray crystallography positively identified them as calcium oxalate monohydrate.
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A patient poisoned with ethylene glycol exhibited the symptoms of (1) hysteria, (2) metabolic acidosis with both a large anion gap and osmolal gap, and (3) crystalluria. However, the shape of the urinary crystals was prismatic and resembled hippurate rather than the expected dipyramidal calcium oxalate dihydrate. X-ray crystallography positively identified them as calcium oxalate monohydrate.
Key concepts: Crystalluria, Ethylene glycol poisoning, Ethylene glycol, Calcium oxalate, Oxalate, Calcium, Calcium Oxalate Crystals, Metabolic acidosis