Hawley P C, Falko J M
South Med J. 1982 May;75(5):630-1. doi: 10.1097/00007611-198205000-00039.
We have described a case of isopropyl alcohol intoxication with the confusing picture of normoglycemia and ketonuria, without evidence of metabolic acidosis. The patient also had a spurious elevation of serum creatinine caused by the high acetone level. The positive ketone test was secondary to high levels of acetone, the main metabolic product of isopropyl alcohol. This is the first case of isopropyl alcohol ingestion in which "pseudo" renal failure has been described.
我们描述了一例异丙醇中毒病例,该病例血糖正常、尿酮体阳性,但无代谢性酸中毒证据,情况令人困惑。患者还因丙酮水平升高出现血清肌酐假性升高。酮体检测呈阳性是由于异丙醇的主要代谢产物丙酮水平升高所致。这是首例描述了“假性”肾衰竭的异丙醇摄入病例。