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Case report
Recovery from ph 6.38: lactic acidosis complicated by hypothermia
  1. S Ahmad1,
  2. M Beckett2
  1. 1Charing Cross Hospital, London, UK
  2. 2West Middlesex University Hospital, London, UK
  1. Correspondence to:
 Mr S Ahmad, Accident and Emergency Department, Charing Cross Hospital, Fulham Palace Road, London W6 8RF, UK

Abstract

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.

  • lactic acidosis
  • hypothermia

http://dx.doi.org/10.1136/emj.19.2.169

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