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- Title
Thiamine Deficiency Leading to Refractory Lactic Acidosis in a Pediatric Patient.
- Authors
Teagarden, Alicia M.; Leland, Brian D.; Rowan, Courtney M.; Lutfi, Riad
- Abstract
Thiamine plays a critical role in energy metabolism. Critically ill children and adults may develop thiamine deficiency with ultimately increased mortality due to potentially irreversible consequences of severe type B lactic acidosis. We report a case of an unvaccinated term neonate with malignant pertussis requiring extracorporeal membrane oxygenation and continuous renal replacement therapy, who developed profound lactic acidosis of unknown etiology. After countless evaluations for likely causes, the patient was ultimately determined to have thiamine deficiency and her acidosis resolved rapidly with vitamin supplementation.
- Subjects
ENERGY metabolism in children; LACTIC acidosis; EXTRACORPOREAL membrane oxygenation; VITAMIN B1 deficiency; PREVENTION; VITAMIN deficiency
- Publication
Case Reports in Critical Care, 2017, p1
- ISSN
2090-6420
- Publication type
Article
- DOI
10.1155/2017/5121032