| Recurrent D-lactic acidosis in a child with short bowel syndrome. | |
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MedLine Citation:
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PMID: 15927940 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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D-lactic acidosis is a rare complication in children with short bowel syndrome. It results from fermentation of dietary carbohydrate by luminal bacteria in the small bowel caused by bacterial overgrowth. We present the case of a 14-year-old boy who had been diagnosed with short bowel syndrome from surgical treatment of midgut volvulus five years previously. His nutritional status was maintained by total parenteral nutrition and enteral feeding as tolerated. During hospitalization, episodic confusion and hyperpnea developed. The investigation showed severe metabolic acidosis with serum bicarbonate of 9 mmol/L and a wide anion gap. The serum D-lactic acid was 11.21 mmol/L. There was no evidence of renal or hepatic failure. Therefore, D-lactic acidosis from enteral carbohydrate overload was diagnosed. The treatment was correction of metabolic acidosis by sodium bicarbonate infusion and carbohydrate restriction. The results of the therapy were satisfactory. Early detection and appropriate treatment is necessary to avoid morbidity and mortality following this complication of short bowel syndrome. |
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Authors:
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Maneerat Puwanant; Ladda Mo-Suwan; Sakda Patrapinyokul |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Asia Pacific journal of clinical nutrition Volume: 14 ISSN: 0964-7058 ISO Abbreviation: Asia Pac J Clin Nutr Publication Date: 2005 |
Date Detail:
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Created Date: 2005-06-01 Completed Date: 2005-09-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9440304 Medline TA: Asia Pac J Clin Nutr Country: Australia |
Other Details:
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Languages: eng Pagination: 195-8 Citation Subset: IM |
Affiliation:
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Department of Pediatrics, Faculty of Medicine, Prince of Songkla University, Hat-Yai, Songkhla, Thailand. mpuwanant@yahoo.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acidosis, Lactic
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etiology*,
therapy Adolescent Bicarbonates / blood, metabolism*, therapeutic use Dietary Carbohydrates / administration & dosage*, metabolism Humans Male Parenteral Nutrition, Total Protein-Energy Malnutrition / etiology, therapy Recurrence Short Bowel Syndrome / complications*, therapy Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Bicarbonates; 0/Dietary Carbohydrates |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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