title: Type B lactic acidosis and insulin-resistant hyperglycemia in an adolescent following cardiac surgery.
abstract: OBJECTIVE
  To report the presence of type B lactic acidosis and insulin-resistant hyperglycemia following cardiopulmonary bypass in a pediatric patient.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Tertiary referral children's hospital pediatric intensive care unit.
  
  
  METHODS
  Fourteen-year-old child with hyperlactatemia and hyperglycemia following cardiac surgery.
  
  
  RESULTS
  We report a patient who following cardiopulmonary bypass for repair of his congenital heart disease developed type B lactic acidosis and hyperglycemia resistant to insulin therapy. Resolution of his hyperlactatemia and hyperglycemia occurred approximately 24 hrs postoperatively without apparent ill effect.
  
  
  CONCLUSIONS
  Type B lactic acidosis is a phenomenon that may occur in the pediatric population in conjunction with insulin-resistant hyperglycemia. We observed that its resolution corresponded to improvement in the patient's hyperglycemia.
authors.affiliation: University of California, Davis Children's Hospital, Sacramento, CA, USA. kparsapour@yahoo.com
authors.forename: Kourosh
authors.initials: K
authors.lastname: Parsapour
authors.forename: Rama
authors.initials: R
authors.lastname: Pullela
authors.forename: Gary
authors.initials: G
authors.lastname: Raff
authors.forename: Robert
authors.initials: R
authors.lastname: Pretzlaff
mesh_terms: D000140:Acidosis, Lactic / Q000145:classification / Q000209:etiology* / Q000503:physiopathology; D000293:Adolescent; D002315:Cardiopulmonary Bypass; D006330:Heart Defects, Congenital / Q000601:surgery; D006801:Humans; D006943:Hyperglycemia / Q000209:etiology* / Q000503:physiopathology; D007333:Insulin Resistance; D015278:Intensive Care Units, Pediatric; D008297:Male; D011183:Postoperative Complications