A 3-year-old boy with ataxia

Pediatric Emergency Care
Brian ParkAmi Shah

Abstract

Complications that arise secondary to functional malabsorptive conditions, such as short bowel syndrome, can present with a wide variety of symptoms. One in particular, D-lactic acidosis, causes a neurologic syndrome characterized by altered mental status, slurred speech, and ataxia, typically after a large carbohydrate meal. The neurologic deterioration can mimic inebriation and has therefore been dually named D-lactate encephalopathy. We present a case of D-lactic acidosis in a 3-year-old patient with short bowel syndrome. Although relatively rare, physicians must remain vigilant in their clinical suspicion of this syndrome whenever neurologic symptoms develop in patients with functional malabsorptive conditions.

References

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Citations

Dec 9, 2017·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Davide G A M BianchettiGregorio P Milani
Oct 31, 2020·Archives of Disease in Childhood. Education and Practice Edition·Luisa Cortellazzo WielEgidio Barbi

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