Key result
Conservative management and a low carbohydrate diet resolved recurrent antibiotic-induced d-lactic acidosis and restored normal cardiac function in a patient with short bowel syndrome.
Case Report (n=1)
d-Lactic acidosis, previously known to cause only neurological symptoms, can also present with reversible severe left ventricular failure.
Consider d-lactic acidosis in short bowel syndrome with unexplained LV failure; case report leaves open generalizability and need for prospective confirmation.
d-Lactic acidosis is a rare form of anion gap acidosis and requires a high index of suspicion for appropriate diagnosis and treatment. We report a rare case of short bowel syndrome with recurrent episodes of antibiotic-induced d-lactic acidosis with the presentation of transient severe left ventricular failure. The patient's cardiac function returned to normal with the resolution of acidosis under conservative management and a low carbohydrate diet. d-Lactic acidosis has been known to be associated with only neurological symptoms, and cardiac failure has not been previously reported.
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Singh et al. (2013) conducted a case report in d-Lactic acidosis and acute cardiac failure (n=1). Conservative management and a low carbohydrate diet was evaluated on Resolution of acidosis and return of normal cardiac function. Conservative management and a low carbohydrate diet resolved recurrent antibiotic-induced d-lactic acidosis and restored normal cardiac function in a patient with short bowel syndrome.
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