A Case of Metformin-associated Lactic Acidosis / 대한신장학회잡지
Korean Journal of Nephrology
;
: 143-146, 2004.
Artículo
en Coreano
| WPRIM
| ID: wpr-204816
ABSTRACT
A 76-year-old female admitted with nausea, anorexia, vague abdominal pain, and malaise. Her past medical history included an 15-year history of type 2 diabetes mellitus and hypertension. She had been taking metformin, glipizid, and amlodipine for past 2 years. One week previously, she underwent gastroscopy to evaluate epigastic pain, and she was diagnosed Helicobacter pylori positive duodenal ulcer, for which she was treated with amoxicillin, clarithromycin, and omeprazole. At admission, laboratory test revealed lactic acidosis (pH 7.23, bicarbonate 8.3 mEq/L, and lactate 5.51 mmol/L) and acute renal failure with a serum creatinine of 7.4 mg/dL. We diagnosed meformin-associated lactic acidosis and the patient made a complete recovery following therapy with bicarbonate-based hemodialysis and supportive care. It is the first report of metformin-associated lactic acidosis in Korea.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Acidosis Láctica
/
Omeprazol
/
Anorexia
/
Dolor Abdominal
/
Helicobacter pylori
/
Gastroscopía
/
Diálisis Renal
/
Claritromicina
/
Amlodipino
/
Ácido Láctico
Límite:
Anciano
/
Femenino
/
Humanos
País/Región como asunto:
Asia
Idioma:
Coreano
Revista:
Korean Journal of Nephrology
Año:
2004
Tipo del documento:
Artículo
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