Rapid reversal of hypoglycaemic coma despite profound metabolic acidosis
Amrein, K.; Harald, W.; Ronald, O.; Smolle, K.; Ribitsch, W.; Stauber, R. · Aktuelle Ernährungsmedizin · 2011 · Heft 3 · S. 1 bis 1
Bibliografische Angaben
Zusammenfassung
Background: Coma in patients with severe metabolic acidosis may be directly related to low blood pH resulting in impaired glucose utilization in the brain cells. We report a patient with hypoglycaemic coma and profound lactic acidosis caused by thiamine deficiency, who regained consciousness simply by means of glucose infusion despite very low blood pH. Case Report: A 56-year old man was admitted to our emergency department because of rapidly progressing dyspnea, nausea and disorientation. On examination he was comatose (Glasgow Coma scale 6). His sister reported a longstanding chronic alcohol abuse of about one…
