• Pediatr Crit Care Me · Jan 2008

    Case Reports

    Type B lactic acidosis and insulin-resistant hyperglycemia in an adolescent following cardiac surgery.

    • Kourosh Parsapour, Rama Pullela, Gary Raff, and Robert Pretzlaff.
    • University of California, Davis Children's Hospital, Sacramento, CA, USA. kparsapour@yahoo.com
    • Pediatr Crit Care Me. 2008 Jan 1;9(1):e6-9.

    ObjectiveTo report the presence of type B lactic acidosis and insulin-resistant hyperglycemia following cardiopulmonary bypass in a pediatric patient.DesignCase report.SettingTertiary referral children's hospital pediatric intensive care unit.PatientFourteen-year-old child with hyperlactatemia and hyperglycemia following cardiac surgery.Interventions And ResultsWe report a patient who following cardiopulmonary bypass for repair of his congenital heart disease developed type B lactic acidosis and hyperglycemia resistant to insulin therapy. Resolution of his hyperlactatemia and hyperglycemia occurred approximately 24 hrs postoperatively without apparent ill effect.ConclusionsType B lactic acidosis is a phenomenon that may occur in the pediatric population in conjunction with insulin-resistant hyperglycemia. We observed that its resolution corresponded to improvement in the patient's hyperglycemia.

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