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"rol" => "short" ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">This is the case of a 56-year-old woman who admitted to the ER with progressive shortness of breath. She was hypotensive and tachypneic (>30 bpm), requiring orotracheal intubation. The blood test results showed a pH of 6.75, PaCO<span class="elsevierStyleInf">2</span> of 18.5 mmHg, bicarbonate level of 2.5 mmoL/L, lactate level of 10.73 mmol/L, and negative ethanol levels. The measured osmolality was 313 mOsm/L with an osmolal gap of −24 mOsm/L. Continuous hemodialysis was initiated, but 12 h later, the patient still had severe acidosis. As a differential diagnosis, the possibility of intoxication with other alcohols was considered. A urine sample examined under UV light (Wood's lamp) revealed the presence of typical fluorescence of fluorescein, which is used in products containing ethylene glycol (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The administration of a single dose of fomepizole was decided within the following hours, which led to the resolution of metabolic abnormalities.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0010" class="elsevierStylePara elsevierViewall">None declared.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Funding</span><p id="par0015" class="elsevierStylePara elsevierViewall">None declared.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflicts of interest" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Funding" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1702 "Ancho" => 1508 "Tamanyo" => 218099 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/0000004800000006/v1_202405280625/S2173572723002527/v1_202405280625/en/main.assets" "Apartado" => array:4 [ "identificador" => "64602" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in Intensive Medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735727/0000004800000006/v1_202405280625/S2173572723002527/v1_202405280625/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572723002527?idApp=WMIE" ]
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