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An unusual cause of severe metabolic acidosis
Author(s) -
Peter John V,
Rogers Natasha,
Murty Shailesh,
Gerace Rosemarie,
Mackay Richard,
Peake Sandra L
Publication year - 2006
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.2006.tb00537.x
Subject(s) - queen (butterfly) , medicine , intensive care unit , general hospital , metabolic acidosis , pediatrics , hymenoptera , botany , biology
A 50-year-old man was transferred to the intensive care unit with high anion gap metabolic acidosis. Investigations suggested a diagnosis of pyroglutamic acidaemia. Factors contributing to the acidosis were medications (paracetamol and flucloxacillin), sepsis and renal failure. The acidosis resolved with supportive therapy and withdrawal of the drugs. It is important to recognise this treatable aetiology of metabolic acidosis.