Misdiagnosis of high anion gap acidosis owing to instrument error of a device
نویسندگان
چکیده
منابع مشابه
A rare cause of high anion gap metabolic acidosis.
Methylmalonic aciduria is an inborn error in the organic acids metabolism. Deficiency of methylmalonyl CoA mutase or its coenzyme, adenosylcobalamine, leads to accumulation of methymalonic acid in body fluids. The disease manifests with recurrent episodes of dehydration, metabolic acidosis, coma and death. We report a case of methylmalonic aciduria diagnosed in a female infant who presented wit...
متن کاملPseudo-anion gap acidosis
A 74-year-old Caucasian male was referred to our clinic for low serum bicarbonate levels and a high anion gap (HAG). Past medical history included hypertension, hypothyroidism, iron deficiency anaemia secondary to gastrointestinal bleeding and hyperlipidaemia. He was on Bicitra 30 mL orally three times daily, levothyroxine 75 mcg daily, atorvastatin 10 mg daily, ferrous sulphate 324 mg daily an...
متن کاملAnion gap metabolic acidosis
Metabolic acidosis is defined as a low arterial blood pH in conjunction with a reduced serum HCO3concentration. Respiratory compensation results in a decrease in PaCO2. A low serum HCO3concentration alone is not diagnostic of metabolic acidosis because it also results from the renal compensation to chronic respiratory alkalosis. Measurement of the arterial pH differentiates between these two po...
متن کاملAn unusual case of severe high anion gap metabolic acidosis
We present a case of high anion gap metabolic acidosis with an unusual aetiology in a 75-year-old lady with hypoglycaemia, encephalopathy and relatively preserved renal function. Full toxicology and biochemical analysis suggested that she had an inborn error of metabolism, riboflavin-responsive multiple acyl-CoA dehydrogenase deficiency that can predispose to severe acidosis in situations where...
متن کاملNormal "anion gap" (hyperchloremic) acidosis.
Hyperchloremic metabolic acidosis in which the anion gap is within normal limits is a common condition in the hospital population, and often presents a difficult diagnostic problem. We describe nine typical cases of this disorder and suggest a logical approach to its evaluation.
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ژورنال
عنوان ژورنال: CEN Case Reports
سال: 2019
ISSN: 2192-4449
DOI: 10.1007/s13730-019-00413-4