title: Severe metabolic acidosis secondary to exertional hyperlactemia.
abstract: A case is presented of severe metabolic acidosis in a previously healthy man. The cause was attributed to lactic acidosis secondary to exertion. Although lactic acid is commonly produced with increased physical activity, it is usually cleared and buffered rapidly. The pathophysiology of lactic acidosis is discussed.
authors.affiliation: Emergency Department, United Hospital Center, Clarksburg, West Virginia 26301.
authors.forename: T M
authors.initials: TM
authors.lastname: Bozzuto
mesh_terms: D000140:Acidosis, Lactic / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D000328:Adult; D001639:Bicarbonates / Q000627:therapeutic use; D005440:Fluid Therapy; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D005082:Physical Exertion; D012964:Sodium / Q000627:therapeutic use; D017693:Sodium Bicarbonate
chemical_list: D001639:Bicarbonates; D017693:Sodium Bicarbonate; D012964:Sodium