Persistent Lactic Acidosis: Thinking Outside the Box

A 54-year-old male presented with possible sepsis and elevated serum lactic acid (LA) of 18.7 mmol/L. Despite the sepsis treatment protocol and the management of other causes of type A lactic acidosis, his LA remained elevated. Herein, we present a case of type B lactic acidosis in the setting of a...

Descripción completa

Detalles Bibliográficos
Autores principales: Arif, Hamza, Zahid, Sohaib, Kaura, Amit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2018
Materias:
Internal Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6029733/
https://www.ncbi.nlm.nih.gov/pubmed/29974016
http://dx.doi.org/10.7759/cureus.2561
_version_ 1783337012040826880
author Arif, Hamza
Zahid, Sohaib
Kaura, Amit
author_facet Arif, Hamza
Zahid, Sohaib
Kaura, Amit
author_sort Arif, Hamza
collection PubMed
description A 54-year-old male presented with possible sepsis and elevated serum lactic acid (LA) of 18.7 mmol/L. Despite the sepsis treatment protocol and the management of other causes of type A lactic acidosis, his LA remained elevated. Herein, we present a case of type B lactic acidosis in the setting of a diffuse large B cell lymphoma. The proposed mechanisms of persistent lactic acidosis in malignancy are highlighted in this case report.
format Online
Article
Text
id pubmed-6029733
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-60297332018-07-04 Persistent Lactic Acidosis: Thinking Outside the Box Arif, Hamza Zahid, Sohaib Kaura, Amit Cureus Internal Medicine A 54-year-old male presented with possible sepsis and elevated serum lactic acid (LA) of 18.7 mmol/L. Despite the sepsis treatment protocol and the management of other causes of type A lactic acidosis, his LA remained elevated. Herein, we present a case of type B lactic acidosis in the setting of a diffuse large B cell lymphoma. The proposed mechanisms of persistent lactic acidosis in malignancy are highlighted in this case report. Cureus 2018-05-01 /pmc/articles/PMC6029733/ /pubmed/29974016 http://dx.doi.org/10.7759/cureus.2561 Text en Copyright © 2018, Arif et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Arif, Hamza
Zahid, Sohaib
Kaura, Amit
Persistent Lactic Acidosis: Thinking Outside the Box
title Persistent Lactic Acidosis: Thinking Outside the Box
title_full Persistent Lactic Acidosis: Thinking Outside the Box
title_fullStr Persistent Lactic Acidosis: Thinking Outside the Box
title_full_unstemmed Persistent Lactic Acidosis: Thinking Outside the Box
title_short Persistent Lactic Acidosis: Thinking Outside the Box
title_sort persistent lactic acidosis: thinking outside the box
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6029733/
https://www.ncbi.nlm.nih.gov/pubmed/29974016
http://dx.doi.org/10.7759/cureus.2561
work_keys_str_mv AT arifhamza persistentlacticacidosisthinkingoutsidethebox
AT zahidsohaib persistentlacticacidosisthinkingoutsidethebox
AT kauraamit persistentlacticacidosisthinkingoutsidethebox

Ejemplares similares