دورية أكاديمية
[D-lactic acidosis in an 11-year-old patient with short bowel syndrome].
| العنوان: | [D-lactic acidosis in an 11-year-old patient with short bowel syndrome]. |
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| عنوان ترانسليتريتد: | Acidosis D-láctica en un paciente de 11 años con síndrome de intestino corto. |
| المؤلفون: | Soler Palacín P; Unidad de Enfermedades Infecciosas Pediátricas, Hospital Vall d'Hebron, Barcelona, Spain. psoler@vhebron.net, Garzón Lorenzo P, Castilla Fernández Y, Arranz Amo JA, Scheider S, Tormo Carnicé R, del Toro Riera M, Figueras Nadal C |
| المصدر: | Anales de pediatria (Barcelona, Spain : 2003) [An Pediatr (Barc)] 2006 Apr; Vol. 64 (4), pp. 385-7. |
| نوع المنشور: | Case Reports; English Abstract; Journal Article |
| اللغة: | Spanish; Castilian |
| بيانات الدورية: | Publisher: Elsevier España Country of Publication: Spain NLM ID: 101162596 Publication Model: Print Cited Medium: Print ISSN: 1695-4033 (Print) Linking ISSN: 16954033 NLM ISO Abbreviation: An Pediatr (Barc) Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Madrid : Elsevier España Original Publication: Barcelona : Ediciones Doyma, SL, c2003- |
| مواضيع طبية MeSH: | Acidosis, Lactic/*etiology , Short Bowel Syndrome/*complications, Acidosis, Lactic/diagnosis ; Child ; Humans ; Male |
| مستخلص: | The short bowel syndrome is the result of a congenital or acquired loss of a large part of the small intestine. The most frequent causes of surgical resection of the intestine in infants are arterial or venous thrombosis, intestinal volvulus, necrotizing enterocolitis, and Crohn's disease. Symptoms include nutrient and electrolyte malabsorption, steatorrhea and diarrhea, which can result in failure to thrive. The consequences of extensive small bowel resections consist of nutritional deficiencies, gastric acid hypersecretion, nephrolithiasis, cholelithiasis and lactic acidosis. Of these, D-lactic acidosis is an infrequent but important complication because of the symptoms that it can produce. D-lactic acid in the human organism is generated by intestinal bacteria, D-lactate ingestion, or endogenous production in the methyl glycoxylase pathway. Neurological symptoms such as somnolence, ataxia or altered behavior in a patient with short bowel syndrome should make us think of D-lactic acidosis caused by bacterial overgrowth. We present the case of an 11-year-old boy with short bowel syndrome secondary to multiple resections during the postnatal period who was admitted to hospital for episodes of confusion and altered behavior. The diagnosis was lactic acidosis. Outcome was favorable due to prompt instauration of treatment. |
| تواريخ الأحداث: | Date Created: 20060412 Date Completed: 20060615 Latest Revision: 20190917 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1157/13086529 |
| PMID: | 16606577 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1695-4033 |
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| DOI: | 10.1157/13086529 |