title: [Recurrent episodes of acidosis with encephalopathy in a hemodialysis program patient with short bowel syndrome].
abstract: We present a case of a patient with short bowel syndrome in a hemodialysis program, with recurrent episodes of serious acidosis. The presence of a D-lactic acidosis peak secondary to bacterial overgrowth in the intestine was discovered during an acute episode of acidosis, with neurological affection. The detection of acidosis in predialysis measurements and the acute episodes of acidosis, made it necessary to administer bicarbonate to the patient and give him additional hemodialysis sessions.
authors.affiliation: Unidad Nefrológica del Hospital de la Santa Creu, Jesús-Tortosa.
authors.forename: P
authors.initials: P
authors.lastname: Angelet
authors.forename: M T
authors.initials: MT
authors.lastname: Compte
authors.forename: J L
authors.initials: JL
authors.lastname: Cid
authors.forename: T
authors.initials: T
authors.lastname: Soriano
authors.forename: J
authors.initials: J
authors.lastname: Vilaseca
authors.forename: J
authors.initials: J
authors.lastname: Bartolomé
mesh_terms: D000140:Acidosis, Lactic / Q000188:drug therapy / Q000209:etiology*; D000328:Adult; D001639:Bicarbonates / Q000627:therapeutic use; D001928:Brain Diseases, Metabolic / Q000209:etiology*; D003244:Consciousness Disorders / Q000209:etiology; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D004401:Dysarthria / Q000209:etiology; D006094:Gram-Positive Bacteria / Q000302:isolation & purification / Q000378:metabolism*; D006801:Humans; D007422:Intestines / Q000382:microbiology; D007676:Kidney Failure, Chronic / Q000209:etiology / Q000378:metabolism / Q000628:therapy*; D007773:Lactates / Q000097:blood*; D008297:Male; D009355:Neomycin / Q000627:therapeutic use; D010070:Oxalates / Q000097:blood / Q000652:urine; D010303:Paromomycin / Q000627:therapeutic use; D012008:Recurrence; D006435:Renal Dialysis; D012778:Short Bowel Syndrome / Q000150:complications* / Q000378:metabolism / Q000382:microbiology; D014545:Urinary Calculi / Q000209:etiology
chemical_list: D001639:Bicarbonates; D007773:Lactates; D010070:Oxalates; D010303:Paromomycin; D009355:Neomycin