Metabolic acidosis, increased anion and osmolal gap are typical laboratory findings.
Mitja Lainščak, Vlasta Petric, Rudolf Mikolič, Franc Štivan 2003, 'ETHYLENE GLYCOL POISONING WITH CONCURRENT ETHANOL INGESTION', Zdravniški Vestnikhttp://vestnik.szd.si/index.php/ZdravVest/article/view/1784. Retrieved from DOAJ CC BY 4.0 (https://creativecommons.org/licenses/by-sa/4.0/legalcode)
Acute ingestions present with altered sensorium and an osmolal gap.
R. Singh, E. Arain, A. Buth, J. Kado, A. Soubani, N. Imran 2016, 'Ethylene Glycol Poisoning: An Unusual Cause of Altered Mental Status and the LessonsLearned from Management of the Disease in the Acute Setting', Case Reports in Critical Carehttp://dx.doi.org/10.1155/2016/9157393. Retrieved from DOAJ CC BY 4.0 (https://creativecommons.org/licenses/by-sa/4.0/legalcode)
He was found to have elevated anion gap acidosis, increased osmolal gap, and acute kidney injury.
Farah Gul Khan, Syed Muhammad Zubair 2018, 'Young man with severe metabolic acidosis after transformer oil ingestion: a case report',Journal of Medical Case Reportshttp://link.springer.com/article/10.1186/s13256-018-1827-4. Retrieved from DOAJ CC BY 4.0 (https://creativecommons.org/licenses/by-sa/4.0/legalcode)
Overall, our case illustrates the importance of systematically approaching an elevated osmolal and anion gap metabolic acidosis.
Eugene M. Tan, Ejaaz Kalimullah, M. Rizwan Sohail, Kannan Ramar 2015, 'Diagnostic Challenge in a Patient with Severe Anion Gap Metabolic Acidosis', Case Reports in Critical Carehttp://dx.doi.org/10.1155/2015/272914. Retrieved from DOAJ CC BY 4.0 (https://creativecommons.org/licenses/by-sa/4.0/legalcode)