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Ann Fr Anesth Reanim · Jun 2014
Case Reports[Severe lactic acidosis revealing hematologic malignancy.]
- A Ouchikhe, J-L Le Bivic, O Longuet, J Maindivide, and J-F Vincent.
- Service de réanimation polyvalente, centre hospitalier Saintonge, 11, boulevard Ambroise-Paré, 17100 Saintes, France. Electronic address: a.ouchikhe@ch-saintonge.fr.
- Ann Fr Anesth Reanim. 2014 Jun 1; 33 (6): 430-2.
AbstractA 75-year-old woman is hospitalised for sepsis. The diagnosis of cholecystitis is made and an antibiotic therapy is debuted. The clinical worsening leads to realise an urgent cholecystectomy. A sepsis like shock persisted. The antibiotherapy was changed and a second abdominal look made. A severe lactic acidosis persisted since the cholecystectomy despite a continuous hemofiltration. The diagnosis of type B lactic acidosis secondary to malignancy was suspected. An osteomedullar biopsy revelled B-cell lymphoma EBV induced. Copyright © 2014 Société française d’anesthésie et de réanimation (Sfar). Published by Elsevier SAS. All rights reserved.
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