D-lactic acidosis mediated neuronal encephalopathy in acute lymphoblastic leukemia patient: An under diagnosis Journal Article

  


Authors: Mendu, D. R.; Fleisher, M.; Mccash, S. I.; Pessin, M. S.; Ramanathan, L. V.
Article Title: D-lactic acidosis mediated neuronal encephalopathy in acute lymphoblastic leukemia patient: An under diagnosis
Abstract: Background: D-lactic acidosis, also referred as D-lactate encephalopathy, has been reported in patients with short bowl syndrome (SBS). Case report: The neurologic symptoms include altered mental status, slurred speech, and ataxia. Onset of neurological symptoms is accompanied by metabolic acidosis and high anion gap. We present here a case of D-lactic acidosis in a patient with acute lymphoblastic leukemia (ALL) who developed severe neurological symptoms and metabolic acidosis due to vancomycin-resistant enterococci (VRE) infection, and elevated D-lactic acid.
Keywords: human tissue; aged; case report; doxorubicin; methotrexate; rituximab; nuclear magnetic resonance imaging; cd34 antigen; neuropathy; myalgia; cyclophosphamide; vincristine; acute lymphoblastic leukemia; abdominal pain; dizziness; fever; hospitalization; prednisolone; bone marrow biopsy; hla dr antigen; brain disease; emergency care; urinalysis; vancomycin resistant enterococcus; linezolid; mental health; cd19 antigen; enterococcal infection; cd30 antigen; lactic acid; gait disorder; cefepime; metabolic acidosis; hematological malignancy; human; female; article; slurred speech; d-lactic acid; neuronal encephalopathy d lactic acidosis
Journal Title: Clinica Chimica Acta
Volume: 441
ISSN: 0009-8981
Publisher: Elsevier Science BV  
Date Published: 2015-02-20
Start Page: 90
End Page: 91
Language: English
DOI: 10.1016/j.cca.2014.12.025
PROVIDER: scopus
PUBMED: 25542530
DOI/URL:

http://www.scopus.com/inward/record.url?eid=2-s2.0-84920161330&partnerID=40&md5=aa7371798319b626f37889115faf40b5
Notes: Export Date: 2 February 2015 -- Source: Scopus
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MSK Authors
  1. Martin Fleisher
    312 Fleisher
  2. Melissa Sue Pessin-Minsley
    50 Pessin-Minsley
  3. Samuel Isaac McCash
    13 McCash
  4. Damodara Rao Mendu
    4 Mendu
  5. Lakshmi Vulimiri Ramanathan
    77 Ramanathan
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