TY - JOUR
T1 - Diagnostic dilemma
T2 - Rare case of recurrent d-lactic acidosis leading to recurrent acute cardiac failure
AU - Singh, Preet Mohinder
AU - Borle, Anuradha
AU - Trikha, Anjan
PY - 2013/6
Y1 - 2013/6
N2 - d-Lactic acidosis is a rare form of anion gap acidosis and requires a high index of suspicion for appropriate diagnosis and treatment. We report a rare case of short bowel syndrome with recurrent episodes of antibiotic-induced d-lactic acidosis with the presentation of transient severe left ventricular failure. The patient's cardiac function returned to normal with the resolution of acidosis under conservative management and a low carbohydrate diet. d-Lactic acidosis has been known to be associated with only neurological symptoms, and cardiac failure has not been previously reported.
AB - d-Lactic acidosis is a rare form of anion gap acidosis and requires a high index of suspicion for appropriate diagnosis and treatment. We report a rare case of short bowel syndrome with recurrent episodes of antibiotic-induced d-lactic acidosis with the presentation of transient severe left ventricular failure. The patient's cardiac function returned to normal with the resolution of acidosis under conservative management and a low carbohydrate diet. d-Lactic acidosis has been known to be associated with only neurological symptoms, and cardiac failure has not been previously reported.
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U2 - 10.1016/j.aat.2013.06.007
DO - 10.1016/j.aat.2013.06.007
M3 - Article
C2 - 23968662
AN - SCOPUS:84882829814
SN - 1875-4597
VL - 51
SP - 94
EP - 96
JO - Acta Anaesthesiologica Taiwanica
JF - Acta Anaesthesiologica Taiwanica
IS - 2
ER -