title: [Severe metabolic acidosis in an alcoholic].
abstract: Severe metabolic acidosis is associated with poor prognosis. We present a patient with profound alcohol and starvation-related combined lactic and keto acidosis (lactate = 29 mM; pH = 6.83) who made a good recovery following 18 hours of intensive care therapy. A brief summary of the proposed mechanism by which these metabolic derangements develop is presented.
authors.affiliation: Anaestesiologisk Afdeling Z, Bispebjerg Hospital, DK-2400 København NV.
authors.forename: Morten Egede
authors.initials: ME
authors.lastname: Sonne
authors.forename: Søren Finnemann
authors.initials: SF
authors.lastname: Rudolph
authors.forename: Frank Christian
authors.initials: FC
authors.lastname: Pott
mesh_terms: D000140:Acidosis, Lactic / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D000437:Alcoholism / Q000150:complications* / Q000378:metabolism / Q000503:physiopathology; D003422:Critical Care / Q000379:methods; D006801:Humans; D007662:Ketosis / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D008297:Male; D008875:Middle Aged