{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T21:55:07Z","timestamp":1777672507949,"version":"3.51.4"},"reference-count":6,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2015,7,1]],"date-time":"2015-07-01T00:00:00Z","timestamp":1435708800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Investigative Medicine High Impact Case Reports"],"published-print":{"date-parts":[[2015,7,1]]},"abstract":"<jats:p>In this report, we describe a case of high anion gap metabolic acidosis with a significant osmolal gap attributed to the ingestion of liquor containing propylene glycol. Recently, several reports have characterized severe lactic acidosis occurring in the setting of iatrogenic unintentional overdosing of medications that use propylene glycol as a diluent, including lorazepam and diazepam. To date, no studies have explored potential effects of excess propylene glycol in the setting of alcohol intoxication. Our patient endorsed drinking large volumes of cinnamon flavored whiskey, which was likely Fireball Cinnamon Whisky. To our knowledge, this is the first case of propylene glycol toxicity from an intentional ingestion of liquor containing propylene glycol.<\/jats:p>","DOI":"10.1177\/2324709615603722","type":"journal-article","created":{"date-parts":[[2015,9,4]],"date-time":"2015-09-04T21:40:53Z","timestamp":1441402853000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Propylene Glycol Poisoning From Excess Whiskey Ingestion"],"prefix":"10.1177","volume":"3","author":[{"given":"Courtney A.","family":"Cunningham","sequence":"first","affiliation":[{"name":"Santa Clara Valley Medical Center, San Jose, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"Ku","sequence":"additional","affiliation":[{"name":"Santa Clara Valley Medical Center, San Jose, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gloria R.","family":"Sue","sequence":"additional","affiliation":[{"name":"Stanford University School of Medicine, Stanford, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,9,4]]},"reference":[{"key":"bibr1-2324709615603722","unstructured":"Food and Drug Administration. Code of Federal Regulations Title 21. 2014; Available from: http:\/\/www.accessdata.fda.gov\/scripts\/cdrh\/cfdocs\/cfcfr\/cfrsearch.cfm?fr=184.1666.\u2009Revised April 1, 2014. Accessed August 17, 2015."},{"key":"bibr2-2324709615603722","doi-asserted-by":"publisher","DOI":"10.1016\/0041-008X(72)90032-4"},{"key":"bibr3-2324709615603722","doi-asserted-by":"publisher","DOI":"10.1378\/chest.128.3.1674"},{"key":"bibr4-2324709615603722","doi-asserted-by":"publisher","DOI":"10.1592\/phco.30.2.219"},{"key":"bibr5-2324709615603722","unstructured":"Begley S. Fireball was recalled, but it\u2019s still a powerhouse drink. Time. http:\/\/time.com\/3546986\/fireball-recalled\/. Published October 29, 2014. Accessed August 17, 2015."},{"key":"bibr6-2324709615603722","doi-asserted-by":"publisher","DOI":"10.1080\/10408449991349230"}],"container-title":["Journal of Investigative Medicine High Impact Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2324709615603722","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2324709615603722","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2324709615603722","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T08:05:10Z","timestamp":1777449910000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2324709615603722"}},"subtitle":["A Case of High Osmolal Gap Metabolic Acidosis"],"short-title":[],"issued":{"date-parts":[[2015,7,1]]},"references-count":6,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2015,7,1]]}},"alternative-id":["10.1177\/2324709615603722"],"URL":"https:\/\/doi.org\/10.1177\/2324709615603722","relation":{},"ISSN":["2324-7096","2324-7096"],"issn-type":[{"value":"2324-7096","type":"print"},{"value":"2324-7096","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,7,1]]},"article-number":"2324709615603722"}}