A Case of Metformin-Induced Lactic Acidosis with Acute Kidney Injury Misdiagnosed as Hepatorenal Syndrome in a Cirrhosis Patient / 대한내과학회지
Korean Journal of Medicine
;
: 241-246, 2012.
Article
in Korean
| WPRIM
| ID: wpr-208713
ABSTRACT
Metformin is a well-established drug for the treatment of type 2 diabetes mellitus. The incidence of metformin-induced lactic acidosis is low, but the estimated mortality rate is approximately 50% in cases with lactic acidosis in combination with metformin therapy. Lactic acidosis occurs most often in patients with compromised cardiac, pulmonary, hepatic, and/or renal function. Acute kidney injury is a relatively frequent problem in cirrhosis patients. Hepatorenal syndrome is a diagnosis of exclusion, making its diagnosis difficult in the clinical field. We report a case of metformin-induced lactic acidosis with acute kidney injury that was misdiagnosed as hepatorenal syndrome in a cirrhosis patient.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Acidosis
/
Acidosis, Lactic
/
Fibrosis
/
Hepatorenal Syndrome
/
Incidence
/
Diabetes Mellitus, Type 2
/
Acute Kidney Injury
/
Liver Cirrhosis
/
Metformin
Type of study:
Incidence study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Medicine
Year:
2012
Type:
Article
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