Document Detail


Severe lactic acidosis and rhabdomyolysis following metformin and ramipril overdose.
MedLine Citation:
PMID:  17251212     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report the case of a 46-yr-old male who developed severe lactic acidosis, cardiorespiratory arrest, and rhabdomyolysis following an overdose of metformin and ramipril. The lactic acidosis was successfully treated with early high-volume continuous veno-venous haemofiltration. Rhabdomyolysis and lower limb compartment syndrome developed later. The patient otherwise made a good recovery. We discuss the management of severe lactic acidosis secondary to metformin overdose and the association with rhabdomyolysis.
Authors:
M Galea; N Jelacin; K Bramham; I White
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  British journal of anaesthesia     Volume:  98     ISSN:  0007-0912     ISO Abbreviation:  Br J Anaesth     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2007-01-25     Completed Date:  2007-03-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372541     Medline TA:  Br J Anaesth     Country:  England    
Other Details:
Languages:  eng     Pagination:  213-5     Citation Subset:  IM    
Affiliation:
Department of Anaesthesia and Intensive Care, St Peter's Hospital, Guildford Road, Chertsey KT16 0PZ, UK. marylyse@doctors.org.uk
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MeSH Terms
Descriptor/Qualifier:
Acidosis, Lactic / chemically induced*,  therapy
Antihypertensive Agents / poisoning*
Compartment Syndromes / chemically induced
Hemofiltration / methods
Humans
Hypoglycemic Agents / poisoning*
Male
Metformin / poisoning*
Middle Aged
Overdose
Ramipril / poisoning*
Rhabdomyolysis / chemically induced*
Suicide, Attempted
Chemical
Reg. No./Substance:
0/Antihypertensive Agents; 0/Hypoglycemic Agents; 657-24-9/Metformin; 87333-19-5/Ramipril

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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