A case of severe lactic acidosis in a maintenance haemodialysis patient caused by thiamine deficiency: A case report

Nephrology ◽  
2021 ◽  
Author(s):  
Lirong Lin ◽  
Jurong Yang
2014 ◽  
Vol 2014 (jun03 1) ◽  
pp. bcr2014205264-bcr2014205264 ◽  
Author(s):  
M. Ramsi ◽  
C. Mowbray ◽  
G. Hartman ◽  
N. Pageler

1991 ◽  
Vol 15 (1) ◽  
pp. 105-109 ◽  
Author(s):  
Denis Oriot ◽  
Chantal Wood ◽  
Ronald Gottesman ◽  
Gilbert Huault

2018 ◽  
Vol 5 (1) ◽  
pp. 47-48
Author(s):  
Nihal Akçay ◽  
Mey Talip Petmezci ◽  
Ülkem Koçoğlu Barlas ◽  
Esra Şevketoğlu ◽  
Hasan Serdar Kıhtır

CHEST Journal ◽  
2014 ◽  
Vol 146 (4) ◽  
pp. 319A
Author(s):  
Herman Dyal ◽  
Juan Fernandez ◽  
Ruchir Patel ◽  
Nena Auraha ◽  
Bruno DiGiovine

Author(s):  
Alfred Ibrahimi ◽  
Saimir Kuci ◽  
Ervin Bejko ◽  
Stavri Llazo ◽  
Maksim Llambro

Case report: A 27-year-old previously healthy man was admitted to the ICU complaining nausea, vomiting and disorientation, after he ingested 1500 mg paracetamol, but its relatives explained that they possess in the house only metformin (maybe he ingested metformin instead of paracetamol). First blood gas showed moderate, and hours later severe lactic acidosis Ph 7,01, Lac 25 m mol/L, BE -26,4. Aggressive rehydration and hemofiltration was started, until full recovery after 24 hours of hospital admission. He was discharged after three days in healthy condition. Discussion: Lactic acidosis is a common cause of metabolic acidosis at the ICU. Type A is most common and caused by hypoperfusion or hypoxia, whilst type B has other causes including use of the antidiabetic drug metformin. Metformin associated lactic acidosis (MALA) is an important treatment-associated condition, and although rare, it is very serious. Conclusion: MALA should be strongly suspected in patients presenting with wide anion gap metabolic acidosis and high blood lactate concentration. Bicarbonate hemodialysis or continuous renal replacement therapy should be urgently arranged for patients with MALA.


2019 ◽  
Vol 29 (5) ◽  
pp. 353
Author(s):  
S Rajagopalan ◽  
RMathi Manoj Kumar ◽  
NK Narayanan ◽  
KJ Raghunath

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