Aghaebulam H Uga*, Priyadarshini Loganathan, Ali Habeeb, Michelle Oyeka and Yvette Farran
Department of Psychiatry and Internal Medicine, Texas Tech University Health Sciences Center, USAFulltext PDF
Most patients with lactic acidosis are often first evaluated for sources of infection and tissue hypoxia. However in the absence of tissue hypoxia, type B lactic acidosis should be considered as a possible differential. Type B lactic acidosis or lactic acidosis secondary to medications, metabolism, or malignancy, is a rare paraneoplastic syndrome associated with hematological malignancies, and with increasing frequency, solid tumors that are correlated with poor overall prognosis. We present a case of a 61-year old female with stage IV colon cancer who presented to the ER with constant dull achy right upper quadrant pain for 2 days. She was found to have lactic acidosis and hyperprolactinemia in the absence of tissue hypoxia or infection. We believe that our case report can add to the limited data regarding this rare syndrome in solid tumors.
Lactic acidosis Type B; Hematological malignancies; Hyperprolactinemia
Uga AH, Loganathan P, Habeeb A, Oyeka M, Farran Y. An Unusual Case of Lactic Acidosis in Colon Cancer: A Case Report and Review of the Literature. Ann Clin Case Rep. 2019; 4: 1660.