title: D-Lactic acidosis 25 years after bariatric surgery due to Salmonella enteritidis.
abstract: D-Lactic acidosis is a rare complication that occurs in patients with short bowel syndrome due to surgical intestine resection for treatment of obesity. The clinical presentation is characterized by neurologic symptoms and high anion gap metabolic acidosis. The incidence of this syndrome is unknown, probably because of misdiagnosis and sometimes symptoms may be incorrectly attributed to other causes. Therapy is based on low carbohydrate diet, sodium bicarbonate intravenous, rehydratation, antiobiotics, and probiotics that only produce L-lactate. In the case we describe, D-lactic acidosis encephalopathy occurred 25 y after bypass jejunoileal, due to Salmonella enteriditis infection.
authors: Department of Clinical Medicine, Sapienza University of Rome, Rome, Italy. antonietta_gigante@yahoo.it
authors: Antonietta
authors: A
authors: Gigante
authors: Liborio
authors: L
authors: Sardo
authors: Maria Ludovica
authors: ML
authors: Gasperini
authors: Antonio
authors: A
authors: Molinaro
authors: Oliviero
authors: O
authors: Riggio
authors: Alessandro
authors: A
authors: Laviano
authors: Antonio
authors: A
authors: Amoroso
mesh_terms: D000140:Acidosis, Lactic / Q000209:etiology* / Q000503:physiopathology; D050110:Bariatric Surgery / Q000009:adverse effects*; D001765:Blind Loop Syndrome / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology* / Q000503:physiopathology; D003221:Confusion / Q000209:etiology; D005243:Feces / Q000382:microbiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D009765:Obesity / Q000601:surgery; D011183:Postoperative Complications / Q000188:drug therapy / Q000382:microbiology* / Q000503:physiopathology; D012480:Salmonella Infections / Q000188:drug therapy / Q000382:microbiology / Q000503:physiopathology; D012477:Salmonella enteritidis / Q000254:growth & development* / Q000302:isolation & purification; D012778:Short Bowel Syndrome / Q000503:physiopathology*; D016896:Treatment Outcome