Article Text

Download PDFPDF
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


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

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.