@article{ajmcr2015393,
author={{Vela-Ortiz, Myriam C and Guan, Yanfang and Singh, Sukhminder and Rupashree, Vinay and Snyder, Richard},
title={Where is the Gap Coming from?},
journal={American Journal of Medical Case Reports},
volume={3},
number={9},
pages={276--277},
year={2015},
url={http://pubs.sciepub.com/ajmcr/3/9/3},
issn={2374-216X},
abstract={A 52 year old male with history of alcohol abuse presented to the hospital with metabolic acidosis, he reported consuming a bottle of Listerine for the past two months. On admission he high anion gap and osmolar gap. Given the severe acidosis the patient was started on a bicarbonate drip and also Fomepizole. Later the assays for ethylene glycol and methanol came back negative. Clinicians should have a high index of suspicion for Listerine use and other over the counter products in patients with a history of ethanol abuse, especially when they present with high anion gap and osmolar gap.},
doi={10.12691/ajmcr-3-9-3}
publisher={Science and Education Publishing}
}
