Evidence map›Paper›PMID 40065882›Full record

ArticleCureus2025

Ethylene Glycol Poisoning Complicated by Cardiac Arrest and a Raised Lactate Gap: A Case Report.

Dhruva Sharma, Roshan Sebastian

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Dhruva SharmaCritical Care Medicine, James Cook University Hospital, NHS, Middlesbrough, GBR.
Roshan SebastianCritical Care Medicine, James Cook University Hospital, NHS, Middlesbrough, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ethylene glycol, a common component in automotive antifreeze and various household and industrial products, poses significant health risks upon ingestion, whether accidental or intentional. Characterized by severe metabolic acidosis, calcium oxalate crystal formation, and diverse end-organ damage, ethylene glycol toxicity can be fatal, with a potentially lethal dose estimated at 1500 mg/kg. The parent compound is osmotically active, leading to the production of harmful metabolites, such as glycolic and oxalic acids, which contribute to metabolic acidosis, nephrotoxicity, and cardiac toxicity. Acute management strategies involve supportive care, administration of fomepizole as a competitive enzyme inhibitor, and renal elimination through dialysis. Furthermore, the lactate gap serves as an important diagnostic tool in ethylene glycol poisoning, highlighting discrepancies between measured and expected lactate levels, which can indicate metabolic acidosis and tissue hypoperfusion. We present a case of ethylene glycol poisoning complicated by cardiac arrest in spite of initiating treatment and the possible use of the lactate gap to predict severity.

Indexed as

cardiac arrestethylene glycolhemodialysislactate gapself poisoning

Identifiers

PMID40065882
PMCPMC11893181

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.