High anion gap metabolic acidosis induced by cumulation of ketones, L- and D-lactate, 5-oxoproline and acute renal failure

@article{Heireman2018HighAG,
  title={High anion gap metabolic acidosis induced by cumulation of ketones, L- and D-lactate, 5-oxoproline and acute renal failure},
  author={L. Heireman and B. Mahieu and M. Helbert and W. Uyttenbroeck and J. Stroobants and Marian Piqueur},
  journal={Acta Clinica Belgica},
  year={2018},
  volume={73},
  pages={313 - 316}
}
ABSTRACT Introduction: Frequent causes of high anion gap metabolic acidosis (HAGMA) are lactic acidosis, ketoacidosis and impaired renal function. In this case report, a HAGMA caused by ketones, L- and D-lactate, acute renal failure as well as 5-oxoproline is discussed. Case presentation: A 69-year-old woman was admitted to the emergency department with lowered consciousness, hyperventilation, diarrhoea and vomiting. The patient had suffered uncontrolled type 2 diabetes mellitus, underwent… Expand
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