title: Diagnostic dilemma: rare case of recurrent d-lactic acidosis leading to recurrent acute cardiac failure.
abstract: d-Lactic acidosis is a rare form of anion gap acidosis and requires a high index of suspicion for appropriate diagnosis and treatment. We report a rare case of short bowel syndrome with recurrent episodes of antibiotic-induced d-lactic acidosis with the presentation of transient severe left ventricular failure. The patient's cardiac function returned to normal with the resolution of acidosis under conservative management and a low carbohydrate diet. d-Lactic acidosis has been known to be associated with only neurological symptoms, and cardiac failure has not been previously reported.
authors: Department of Anesthesia, All-India Institute of Medical Sciences, New Delhi, India. preetrajpal@gmail.com
authors: Preet Mohinder
authors: PM
authors: Singh
authors: Anuradha
authors: A
authors: Borle
authors: Anjan
authors: A
authors: Trikha
mesh_terms: D000140:Acidosis, Lactic / Q000150:complications*; D000208:Acute Disease; D000328:Adult; D006333:Heart Failure / Q000209:etiology*; D006801:Humans; D008297:Male; D012008:Recurrence; D012778:Short Bowel Syndrome / Q000150:complications
keywords: acidosis, lactic; heart failure; short bowel syndrome