53-years-old with mental status changes.
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.
Al Chekakie
M Obadah
MO
Internal Medicine Residency Program/NA21, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.
Al Kotoub
M Luay
ML
Nielsen
Craig
C
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
D000900:Anti-Bacterial Agents