title: Lactic acidosis due to metformin therapy in a low risk patient.
abstract: A 55 year old diabetic women treated with chlorpropamide and metformin for three years presented with acute oliguric renal failure and lactic acidosis from which she died. The plasma metformin level was very high suggesting that the lactic acidosis was caused by the drug. There were no contraindications to metformin therapy and renal function was normal three months previously. This case demonstrates that lactic acidosis can occur as a result of metformin therapy in the absence of pre-existing risk factors.
authors.affiliation: Diabetic Department, Royal South Hants Hospital, Southampton, UK.
authors.forename: D J
authors.initials: DJ
authors.lastname: Tymms
authors.forename: B A
authors.initials: BA
authors.lastname: Leatherdale
mesh_terms: D000140:Acidosis, Lactic / Q000139:chemically induced*; D058186:Acute Kidney Injury / Q000150:complications; D002747:Chlorpropamide / Q000627:therapeutic use; D003924:Diabetes Mellitus, Type 2 / Q000188:drug therapy; D005260:Female; D006801:Humans; D008687:Metformin / Q000009:adverse effects*; D008875:Middle Aged; D012307:Risk Factors
chemical_list: D008687:Metformin; D002747:Chlorpropamide