Carrillo-Esper R, De la Torre-León T, De la Torre-León MA, Carrillo-Córdova DM, Carrillo-Córdova CA

Language: Spanish
References: 17
Page: 182-187
PDF size: 131.83 Kb.

ABSTRACT

Lactic acidosis secondary to metformin-administration is a rare entity but extremely serious. It is associated with several risk factors: hepatic failure, renal failure, elderly and heart failure. We presented a case of lactic acidosis secondary to metformin-administration in a patient without the presence of risk factors for its development. The patient required substitutive treatment for renal function, then, reduction of significant levels of lactate and correction of metabolic acidosis a few hours after initiation of hemodialysis. In patients with metformin-associated lactic acidosis, early treatment should be instituted to promote a favorable evolution and mortality.

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