title: Too much of too little: xylitol, an unusual trigger of a chronic metabolic hyperchloremic acidosis.
abstract: Homeopathic globules are frequently used in children as a first-line treatment. Most of these globules are coated with sugar substitutes like xylitol; these substitutes are known for their laxative effect. Our patient shows that consumption of globules coated with xylitol does not have only laxative effects. It may cause indeed considerable weight loss and life-threatening enteral bicarbonate loss by diarrhea when overdosed in an infant.
authors.affiliation: Department of Intensive Care and Neonatology, University Children's Hospital, Steinwiesstr. 75, CH-8032 Zurich, Switzerland.
authors.forename: David
authors.initials: D
authors.lastname: Wille
authors.forename: Mathias
authors.initials: M
authors.lastname: Hauri-Hohl
authors.forename: Priska
authors.initials: P
authors.lastname: Vonbach
authors.forename: Maren
authors.initials: M
authors.lastname: Tomaske
authors.forename: Beth
authors.initials: B
authors.lastname: Padden
authors.forename: Vera
authors.initials: V
authors.lastname: Bernet
mesh_terms: D000138:Acidosis / Q000097:blood* / Q000209:etiology; D001639:Bicarbonates / Q000097:blood; D002648:Child; D002712:Chlorides / Q000097:blood; D002908:Chronic Disease; D003967:Diarrhea / Q000139:chemically induced* / Q000150:complications*; D004305:Dose-Response Relationship, Drug; D005260:Female; D006801:Humans; D007008:Hypokalemia / Q000097:blood; D054368:Laxatives / Q000008:administration & dosage / Q000009:adverse effects*; D013549:Sweetening Agents / Q000008:administration & dosage / Q000009:adverse effects*; D015431:Weight Loss / Q000187:drug effects*; D014993:Xylitol / Q000008:administration & dosage / Q000009:adverse effects*
chemical_list: D001639:Bicarbonates; D002712:Chlorides; D054368:Laxatives; D013549:Sweetening Agents; D014993:Xylitol