Lactic acidosis and hypoglycemia with ALL relapse following engrafted bone marrow transplant

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Abstract

Lactic acidosis together with hypoglycemia in the face of hematologic malignancy is a grave development. A 7-year-old male with pre-B-cell ALL following hematopoietic cell transplant was admitted to our hospital in his second relapse. On hospital days 4 and 5, he developed refractory hypoglycemia, lactic acidosis, central respiratory failure, and acute renal failure. Bicarbonate infusion, B vitamins, and hemodialysis were not effective. Care was withdrawn on hospital day 9. Further understanding of the mechanisms that cause the combined onset of lactic acidosis and hypoglycemia will help clinicians in implementing timely therapies that may reduce mortality.

Original languageEnglish (US)
Pages (from-to)223-225
Number of pages3
JournalPediatric Blood and Cancer
Volume53
Issue number2
DOIs
StatePublished - Aug 2009

Keywords

  • Acute lymphoblastic leukemia
  • Bone marrow transplant
  • Hematopoietic cell transplant
  • Hypoglycemia
  • Lactic acidosis

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