title: 53-years-old with mental status changes.
abstract: D-lactic acidosis, a complication of short bowel syndrome, presents with a variety of neurological symptoms and metabolic acidosis. Treatment is hydration, replacement of nutritional deficiency replacement, and selective antibiotics. Prevention entails complex carbohydrate diet and vitamin and mineral supplements.
authors.affiliation: Internal Medicine Residency Program/NA21, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.
authors.forename: M Obadah
authors.initials: MO
authors.lastname: Al Chekakie
authors.forename: M Luay
authors.initials: ML
authors.lastname: Al Kotoub
authors.forename: Craig
authors.initials: C
authors.lastname: Nielsen
mesh_terms: D000140:Acidosis, Lactic / Q000150:complications* / Q000628:therapy*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003221:Confusion / Q000209:etiology*; D005260:Female; D005440:Fluid Therapy; D006801:Humans; D008875:Middle Aged; D012778:Short Bowel Syndrome / Q000150:complications
chemical_list: D000900:Anti-Bacterial Agents