Daniel Baram; Joseph Cooke
Baram D, Cooke J. Lactic Acidosis and AIDS. Ann Intern Med. 1993;119:343-345. doi: 10.7326/0003-4819-119-4-199308150-00024
Download citation file:
Published: Ann Intern Med. 1993;119(4):343-345.
TO THE EDITOR:
In 1991, we had a patient with a clinical course similar to that in the patients described in the recent report by Chattha and coworkers , in which a cause of lactic acidosis was found at autopsy. Our patient was a 45-year-old, HIV-positive woman given zidovudine and trimethoprim-sulfamethoxazole. After oral fluconazole therapy for severe oral thrush failed, she was admitted to the hospital for fluids, intravenous fluconazole, and esophageal biopsy after a bout of progressive odynophagia and dehydration. The admission examination was remarkable only for oral thrush and evidence of dehydration. Laboratory values showed a HCO3 level of 22 mEq/L, with an anion gap of 13 mEq/L and a pH of 7.43.
to gain full access to the content and tools.
Learn more about subscription options.
Register Now for a free account.
Copyright © 2016 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only