© 2002 the Emergency Medicine Journal
CASE REPORT
Recovery from ph 6.38: lactic acidosis complicated by hypothermia
1 Charing Cross Hospital, London, UK
2 West Middlesex University Hospital, London, UK
Correspondence to:
Correspondence to:
Mr S Ahmad, Accident and Emergency Department, Charing Cross Hospital, Fulham Palace Road, London W6 8RF, UK
Survival after extreme arterial acidosis is uncommon. A case of metformin induced lactic acidosis is described where the presenting pH was 6.38 exacerbated by hypothermia (29°C). Increased anion gap acidosis, its varied aetiology, potential reversibility, and the role of hypothermia are discussed. Early liaison with a medical toxicology unit is recommended when this rare condition is suspected.
Keywords: lactic acidosis; hypothermia
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