Which of the following symptoms is NOT typically associated with ethylene glycol poisoning?

Ethylene glycol poisoning is known to produce a variety of severe symptoms primarily due to the metabolic acidosis and organ damage it causes, particularly to the kidneys. Among the symptoms typically associated with ethylene glycol poisoning, renal failure is a critical outcome due to acute tubular necrosis, and flank pain can result from kidney injury or related complications. Hypocalcemia can occur due to the formation of calcium oxalate crystals, which can precipitate in the kidneys and other tissues.

However, myocardial infarction is not a common symptom directly associated with ethylene glycol poisoning. While metabolic disturbances from any toxic exposure can theoretically lead to cardiovascular issues, myocardial infarction is not a key feature of ethylene glycol ingestions. It is more directly related to other toxicological agents or additional risk factors such as pre-existing cardiovascular disease. Therefore, the lack of typical cardiovascular symptoms in the context of ethylene glycol exposure supports the conclusion that myocardial infarction is an unlikely finding among the acute symptoms of this poisoning.