Acute Renal Toxicity After Ingestion of Lava Light Liquid

A 65-year-old man with a history of alcohol abuse and seizure disorder presented to the emergency department with altered mental status, increased anion gap acidosis, phenytoin toxicity, and acute kidney failure. The patient had ingested the liquid contents of a Lava light, which contained chlorinat...

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Bibliographic Details
Published in:Annals of emergency medicine 1996-06, Vol.27 (6), p.781-784
Main Authors: Erickson, Timothy B, Aks, Steven E, Zabaneh, R, Reid, Ralston
Format: Article
Language:English
Subjects:
Acute Kidney Injury - chemically induced
Acute Kidney Injury - therapy
Aged
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Emergency and intensive care: renal failure. Dialysis management
Fossil Fuels - poisoning
Humans
Intensive care medicine
Kerosene - poisoning
Male
Medical sciences
Paraffin - poisoning
Polyethylene Glycols - poisoning
Renal Dialysis
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Summary:A 65-year-old man with a history of alcohol abuse and seizure disorder presented to the emergency department with altered mental status, increased anion gap acidosis, phenytoin toxicity, and acute kidney failure. The patient had ingested the liquid contents of a Lava light, which contained chlorinated paraffin, polyethylene glycol (molecular weight 200), kerosene, and microcrystalline wax. Gas chromatography–mass spectrophotometry of the patient's blood produced results consistent with the same analysis of the Lava light contents. After 3 days of declining mental status and worsening kidney function, the patient required hemodialysis. After a prolonged hospitalization, the patient was discharged home with residual renal insufficiency. Although multifactorial, the associated renal toxicity was most probably related to the low molecular weight polyethylene glycol content of the lamp's liquid contents. [Erickson TB, Aks SE, Zabaneh R, Reid R: Acute renal toxicity after ingestion of Lava light liquid. Ann Emerg Med June 1996;27:781-784.]
ISSN:0196-0644
1097-6760
DOI:10.1016/S0196-0644(96)70202-0