title: Life-threatening reversible acidosis caused by alcohol abuse.
abstract: BACKGROUND
  A 52-year-old man with a history of alcohol dependency was admitted to the emergency room with life-threatening anion gap metabolic acidosis. He admitted to drinking large quantities of alcohol during the previous day.
  
  
  METHODS
  Physical examination, blood and urine analyses, including calculation of his anion gap and plasma osmolal gap, and measurement of serum alcohol levels.
  
  
  METHODS
  Severe but rapidly reversible lactic acidosis and associated alcohol-induced ketoacidosis.
  
  
  RESULTS
  Intravenous thiamine, intravenous fluids and bicarbonate.
authors.affiliation: Department of Nephrology & Hypertension, Kaplan Medical Center, Rehovot 76100, Israel.
authors.forename: Philip D
authors.initials: PD
authors.lastname: Shull
authors.forename: Jayson
authors.initials: J
authors.lastname: Rapoport
mesh_terms: D000138:Acidosis / Q000209:etiology*; D000437:Alcoholism / Q000150:complications*; D004630:Emergencies; D006801:Humans; D008297:Male; D008875:Middle Aged