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Case Reports
. 2002 Mar;19(2):169-71.
doi: 10.1136/emj.19.2.169.

Recovery from pH 6.38: lactic acidosis complicated by hypothermia

S Ahmad  1 , M Beckett
Affiliations
Case Reports

Recovery from pH 6.38: lactic acidosis complicated by hypothermia

S Ahmad et al. Emerg Med J. 2002 Mar.

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 degrees 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.

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