scholarly journals Severe Anion Gap Metabolic Acidosis Resulting from Combined Chronic Acetaminophen Toxicity and Starvation Ketosis: A Case Report and Literature Review

2021 ◽  
Vol 23 ◽  
Author(s):  
Thomas Kalinoski
Keyword(s):  
Case Report ◽  
Metabolic Acidosis ◽  
Literature Review ◽  
Anion Gap ◽  
Acetaminophen Toxicity

Metabolic Acidosis With Extreme Elevation of Anion Gap: Case Report and Literature Review

1999 ◽  
Vol 317 (1) ◽  
pp. 38-49 ◽  
Author(s):  
James R. Oster ◽  
Irwin Singer ◽  
Gabriel N. Contreras ◽  
H.I. Ahmad ◽  
Cristovao F. Vieira
Keyword(s):  
Case Report ◽  
Metabolic Acidosis ◽  
Literature Review ◽  
Anion Gap

Metabolic Acidosis With Extreme Elevation of Anion Gap: Case Report and Literature Review

1999 ◽  
Vol 317 (1) ◽  
pp. 38-49 ◽  
Author(s):  
JAMES R. OSTER ◽  
IRWIN SINGER ◽  
GABRIEL N. CONTRERAS ◽  
H. I. AHMAD ◽  
CRISTOVAO F. VIEIRA
Keyword(s):  
Case Report ◽  
Metabolic Acidosis ◽  
Literature Review ◽  
Anion Gap

An Unusual Case of Elevated Anion Gap Metabolic Acidosis Secondary to Chronic Acetaminophen Toxicity: A Case Report and Review of Literature

2017 ◽  
Vol 4 ◽  
pp. 28-33
Author(s):  
Raviteja R. Guddeti ◽  
Jessica Marshall ◽  
Analise Hanneman ◽  
Jayanth G. Vedre
Keyword(s):  
Case Report ◽  
Metabolic Acidosis ◽  
Unusual Case ◽  
Anion Gap ◽  
Review Of Literature ◽  
Acetaminophen Toxicity

scholarly journals Anion gap‐opening metabolic acidosis and urinary findings in the early diagnosis of ethylene glycol poisoning: A case report

2022 ◽  
Vol 10 (1) ◽  
Author(s):  
Kentaro Ukita ◽  
Kanako Otomune ◽  
Ryo Fujimoto ◽  
Kanako Hasegawa ◽  
Koichi Izumikawa ◽  
...  
Keyword(s):  
Case Report ◽  
Metabolic Acidosis ◽  
Early Diagnosis ◽  
Ethylene Glycol ◽  
Anion Gap ◽  
Ethylene Glycol Poisoning ◽  
Gap Opening

scholarly journals Acetaminophen-induced anion gap metabolic acidosis secondary to 5-oxoproline: a case report

2014 ◽  
Vol 8 (1) ◽  
Author(s):  
Tarig Mohammed Abkur ◽  
Waleed Mohammed ◽  
Mohamed Ali ◽  
Liam Casserly
Keyword(s):  
Case Report ◽  
Metabolic Acidosis ◽  
Anion Gap

scholarly journals Hyperchloremic Metabolic Acidosis due to Cholestyramine: A Case Report and Literature Review

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Fareed B. Kamar ◽  
Rory F. McQuillan
Keyword(s):  
Acute Kidney Injury ◽  
Renal Failure ◽  
Case Report ◽  
Metabolic Acidosis ◽  
Bile Acid ◽  
Literature Review ◽  
Adult Male ◽  
Kidney Injury ◽  
Bile Acid Malabsorption ◽  
Hyperchloremic Metabolic Acidosis

Cholestyramine is a bile acid sequestrant that has been used in the treatment of hypercholesterolemia, pruritus due to elevated bile acid levels, and diarrhea due to bile acid malabsorption. This medication can rarely cause hyperchloremic nonanion gap metabolic acidosis, a complication featured in this report of an adult male with concomitant acute kidney injury. This case emphasizes the caution that must be taken in prescribing cholestyramine to patients who may also be volume depleted, in renal failure, or taking spironolactone.

scholarly journals Diet-induced Ketoacidosis in a Non-diabetic: A Case Report

2020 ◽  
Vol 4 (2) ◽  
pp. 259-262
Author(s):  
Sam Slade ◽  
John Ashurst
Keyword(s):  
Weight Loss ◽  
Case Report ◽  
Metabolic Acidosis ◽  
Ketogenic Diet ◽  
Emergency Physician ◽  
Anion Gap ◽  
Low Carbohydrate Diet ◽  
Low Carbohydrate ◽  
Sliding Scale ◽  
Developed Nations

Introduction: Anion gap metabolic acidosis is a common disorder seen in the emergency department. The differential can include toxicological, renal, endocrine, infectious, and cardiogenic disorders. Ketosis, however, is one of the rarer causes of metabolic acidosis seen by the emergency physician in developed nations. Case Report: A 53-year-old female presented after starting a low-carbohydrate ketogenic diet for weight loss. She reported xerostomia, nausea with abdominal pain and a 17-pound weight loss over the previous 22 days. Labs revealed an anion-gap metabolic acidosis with ketosis. She was treated with 5% dextrose in normal saline and a sliding scale insulin coverage. Her anion gap corrected during her hospital course and was discharged on hospital day three. Discussion: The ketogenic diet typically consists of a high-fat, adequate protein and low carbohydrate diet that has previously been thought to be relatively safe for weight loss. However, when carbohydrates are completely removed from the diet an overproduction of ketones bodies results in ketoacidosis. Treatment should be aimed at halting the ketogenic process and patient education. Conclusion: Although rarely included in the differential for metabolic acidosis, diet-induced ketosis should be included by the emergency physician when faced with a patient who recently changed their eating patterns.

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