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dc.contributor.authorHauvik, Linn Eva
dc.contributor.authorVarghese, Mercy
dc.contributor.authorNielsen, Erik Waage
dc.date.accessioned2019-02-21T11:52:42Z
dc.date.available2019-02-21T11:52:42Z
dc.date.issued2018-07-24
dc.description.abstractEthylene glycol poisoning is a medical emergency. The metabolites glycolate and glyoxylate give metabolic acidosis. Because of similar structure, these metabolites are misinterpreted as lactate by many point-of-care blood gas analyzers. The falsely high lactate values can lead to misdiagnosis, inappropriate laparotomies, and delayed antidotal therapy. As laboratory analyzers measure plasma lactate only, the difference or the “lactate gap” aids in early diagnosis. We present a patient with severe metabolic acidosis and elevated lactate levels on the point-of-care analyzer. A lactate gap supported the diagnosis of ethylene glycol poisoning. Hemodialysis and fomepizole treatment could be started immediately.en_US
dc.descriptionSource at <a href=https://doi.org/10.1155/2018/5238240>https://doi.org/10.1155/2018/5238240. </a>en_US
dc.identifier.citationHauvik, H., Varghese, M. & Nielsen, E.W. (2018). Lactate gap: a diagnostic support in severe metabolic acidosis of unknown origin. <i>Case Reports in Medicine, 2018</i>, 5238240. https://doi.org/10.1155/2018/5238240en_US
dc.identifier.cristinIDFRIDAID 1607791
dc.identifier.doi10.1155/2018/5238240
dc.identifier.issn1687-9627
dc.identifier.issn1687-9635
dc.identifier.urihttps://hdl.handle.net/10037/14740
dc.language.isoengen_US
dc.publisherHindawi Publishing Corporationen_US
dc.relation.journalCase Reports in Medicine
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medical disciplines: 700::Clinical medical disciplines: 750en_US
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750en_US
dc.titleLactate gap: a diagnostic support in severe metabolic acidosis of unknown originen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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