title: [Severe lactic acidosis revealing hematologic malignancy].
abstract: A 75-year-old woman is hospitalised for sepsis. The diagnosis of cholecystitis is made and an antibiotic therapy is debuted. The clinical worsening leads to realise an urgent cholecystectomy. A sepsis like shock persisted. The antibiotherapy was changed and a second abdominal look made. A severe lactic acidosis persisted since the cholecystectomy despite a continuous hemofiltration. The diagnosis of type B lactic acidosis secondary to malignancy was suspected. An osteomedullar biopsy revelled B-cell lymphoma EBV induced.
authors.affiliation: Service de réanimation polyvalente, centre hospitalier Saintonge, 11, boulevard Ambroise-Paré, 17100 Saintes, France. Electronic address: a.ouchikhe@ch-saintonge.fr.
authors.forename: A
authors.initials: A
authors.lastname: Ouchikhe
authors.affiliation: Service de réanimation polyvalente, centre hospitalier Saintonge, 11, boulevard Ambroise-Paré, 17100 Saintes, France.
authors.forename: J-L
authors.initials: JL
authors.lastname: Le Bivic
authors.affiliation: Service de réanimation polyvalente, centre hospitalier Saintonge, 11, boulevard Ambroise-Paré, 17100 Saintes, France.
authors.forename: O
authors.initials: O
authors.lastname: Longuet
authors.affiliation: Service de réanimation polyvalente, centre hospitalier Saintonge, 11, boulevard Ambroise-Paré, 17100 Saintes, France.
authors.forename: J
authors.initials: J
authors.lastname: Maindivide
authors.affiliation: Service de réanimation polyvalente, centre hospitalier Saintonge, 11, boulevard Ambroise-Paré, 17100 Saintes, France.
authors.forename: J-F
authors.initials: JF
authors.lastname: Vincent
mesh_terms: D000140:Acidosis, Lactic / Q000175:diagnosis / Q000209:etiology*; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002764:Cholecystitis / Q000150:complications; D020031:Epstein-Barr Virus Infections / Q000150:complications; D005260:Female; D019337:Hematologic Neoplasms / Q000150:complications* / Q000175:diagnosis; D006440:Hemofiltration; D006801:Humans; D016393:Lymphoma, B-Cell / Q000150:complications* / Q000175:diagnosis; D018805:Sepsis / Q000150:complications
chemical_list: D000900:Anti-Bacterial Agents
keywords: Acidose lactique; Epstein-Barr virus; Hematologic malignancy; Hémopathie; Lactic acidosis; Virus d’Epstein-Barr