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Folly Beach Library
9 a.m. - 2 p.m.
*open the 2nd and 4th Saturday
*open the 2nd and 4th Saturday
Phone: (843) 588-2001
Edgar Allan Poe/Sullivan's Island Library
Closed for renovations
Phone: (843) 883-3914
West Ashley Library
9 a.m. - 5 p.m.
Phone: (843) 766-6635
Wando Mount Pleasant Library
9 a.m. - 5 p.m.
Phone: (843) 805-6888
Village Library
9 a.m. - 1 p.m.
Phone: (843) 884-9741
St. Paul's/Hollywood Library
9 a.m. - 5 p.m.
Phone: (843) 889-3300
Otranto Road Library
9 a.m. - 5 p.m.
Phone: (843) 572-4094
Mt. Pleasant Library
9 a.m. – 5 p.m.
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McClellanville Library
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John's Island Library
9 a.m. - 5 p.m.
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Hurd/St. Andrews Library
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Emerging progressive atypical acute kidney injury in young children linked to ethylene glycol and diethylene glycol intoxication.
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- Author(s): Hidayati, Eka Laksmi; Fahlevi, Reza; Puspitasari, Henny Adriani; Tartila; Puspaningtyas, Niken Wahyu; Primacakti, Fitri; Saraswati, Meilania; Miranda, Monik Ediana; Prawira, Yogi; Prayitno, Ari; Pardede, Sudung Oloan; Putri, Nina Dwi
- Source:
Pediatric Nephrology; Mar2024, Vol. 39 Issue 3, p897-904, 8p- Subject Terms:
ACUTE kidney failure prevention; DISEASE progression; CLINICAL pathology; COVID-19; CROSS-sectional method; ETHYLENE glycols; SYMPTOMS; MEDICAL history taking; MEDICAL referrals; DESCRIPTIVE statistics; DEMOGRAPHY; OXALIC acid; DATA analysis software; ACUTE kidney failure; ACID-base equilibrium; ACIDOSIS; EARLY diagnosis; CHILDREN - Source:
- Additional Information
- Subject Terms:
- Abstract: Background: There had been a sudden surge of unusually severe and rapidly progressing acute kidney injury (AKI) incidence in Indonesia since August 2022 which did not correspond to the rise of COVID-19 incidence. We suspected this was related to ethylene glycol (EG) and diethylene glycol (DEG) intoxication. This study is aimed at describing the clinical and laboratory characteristics of AKI related to D(EG) intoxication in order to spread awareness of the possibility of intoxication in cases of rapidly progressing AKI with unknown etiology. Methods: We conducted a cross-sectional study by collecting secondary data from the pediatric AKI registry at a national referral hospital in Jakarta, Indonesia. Data on children admitted from January to November 2022 with diagnosis of stage 3 AKI based on KDIGO criteria were included. Data regarding demographics, symptoms prior to anuria, laboratory results, infection panel including COVID-19 status, treatment administered, and mortality were analyzed. Results: Sixteen patients tested positive for EG and DEG, all with history of consuming syrup-based medications. High anion gap metabolic acidosis was observed in majority of patients with mean pH 7.33 ± 0.07 and mean anion gap 15.6 ± 7.8 mEq/L. No patient had high osmolal gap (mean osmolal gap 3.46 ± 4.68). One deceased patient, who had kidney biopsy performed, showed severe damage and calcium oxalate crystals in the kidney tissue. Mortality was recorded in six patients (37.5%). Conclusion: Careful history taking of patient's clinical course, including consumption of syrup-based medications and laboratory findings, might aid clinicians to establish a working diagnosis of D(EG) intoxication without needing to wait for blood toxicology test. Early diagnosis and therapy are crucial to prevent substantial mortality. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Pediatric Nephrology is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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