[Severe metabolic acidosis in an alcoholic].
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.
Sonne
Morten Egede
ME
Anaestesiologisk Afdeling Z, Bispebjerg Hospital, DK-2400 København NV.
Rudolph
Søren Finnemann
SF
Pott
Frank Christian
FC
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