Ethylene glycol ingestion can present with (and lead to) multi-organ dysfunction
The anion gap and osmolal gap should both be assessed because they change over time; checking one in isolation may provide false clinical reassurance
Fomepizole is the preferred antidote to minimise metabolism (and therefore toxicity) and haemodialysis may be required to facilitate clearance (of ethylene glycol and its metabolites) from the body
Residual renal failure secondary to nephropathy (oxalate crystals) is common
