A Case of Lactic Acidosis Complicating Hyperosmolar Nonketotic Diabetic Coma and Myocardial Infarction

DOI
  • Hosojima Hiroyuki
    Division of Endocrinology, Department of Internal Medicine, Kanazawa Medical University
  • Yamamoto Ikuo
    Division of Endocrinology, Department of Internal Medicine, Kanazawa Medical University
  • Kigoshi Toshikazu
    Division of Endocrinology, Department of Internal Medicine, Kanazawa Medical University
  • Uchida Kenzo
    Division of Endocrinology, Department of Internal Medicine, Kanazawa Medical University
  • Morimoto Shinpei
    Division of Endocrinology, Department of Internal Medicine, Kanazawa Medical University

Bibliographic Information

Other Title
  • 心筋硬そく，高浸透圧性非ケトン性こん睡に乳酸アシドーシスを合併した糖尿病の１例

Abstract

A 67-year-old woman with a 15-year history of diabetes mellitus developed hyperosolar nonketotic diabetic coma and myocardial infarction.Severe metabolic acidosis, however, was observed with marked increases in serum lactate and pyruvate.This represents a rare instance of lactic acidosis complicating hyperosolar nonketotic diabetic coma and myocardial infarction.It appears that the lactic acidosis in the patient may have been induced by multiple factors such as hyperglycemia, infection, dehydration, myocardial infarction, and progression of bleeding probably by DIC

Journal

Keywords

Details 詳細情報について

  • CRID
    1390282679881465344
  • NII Article ID
    130004114810
  • DOI
    10.11213/tonyobyo1958.27.131
  • ISSN
    1881588X
    0021437X
  • Text Lang
    ja
  • Data Source
    • JaLC
    • CiNii Articles
  • Abstract License Flag
    Disallowed

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