Severe lactic acidosis following alcohol related generalised seizures.
A 45-year-old alcoholic man presented following several short grand-mal seizures. He was not known to be epileptic. Initial investigations demonstrated a severe lactic acidosis. The rise in lactate was one of the highest levels reported in similar patients. The patient recovered within 4 h of management with oxygen, fluids and sodium bicarbonate. Lactic acidosis following convulsions is often associated with spontaneous resolution and a favourable outcome.
Hulme
J
J
Department of Anaesthesia and Critical Care, City Hospital, Dudley Road, Birmingham, B18 7QH, UK. jonhulme@doctors.org.uk
Sherwood
N
N
D000140:Acidosis, Lactic / Q000097:blood / Q000209:etiology* / Q000628:therapy; D000437:Alcoholism / Q000150:complications*; D004830:Epilepsy, Tonic-Clonic / Q000150:complications*; D006801:Humans; D019344:Lactic Acid / Q000097:blood; D008297:Male; D008875:Middle Aged
D019344:Lactic Acid