Open AccessUrine ‘picket fence’ crystals in ethylene glycol poisoning
Author(s) -
MogamatYazied Chothia,
Nabeel Bapoo
Publication year - 2021
Publication title -
african journal of nephrology
Language(s) - English
Resource type - Journals
eISSN - 2518-4601
pISSN - 2306-8205
DOI - 10.21804/24-1-4638
Subject(s) - ethylene glycol , urine , ethylene glycol poisoning , calcium oxalate , oxalate , calcium oxalate crystals , medicine , chemistry , inorganic chemistry , organic chemistry
A 46-year-old woman intentionally ingested ethylene glycol and overdosed on paracetamol. She had clinical and laboratory features suggestive of ethylene glycol poisoning, and examination of the urine revealed calcium oxalate monohydrate, or ‘picket fence’, crystals. She responded well to therapy that included haemodialysis. Clinicians should be aware that these crystals appear late during the evolution of ethylene glycol poisoning and, along with other clinical and laboratory findings, should prompt the initiation of haemodialysis.