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

Pediatric Blood & Cancer
Nathan LuscriJakub Tolar


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 Care was withdrawn on hospital day 9.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.


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Jan 14, 2005·International Journal of Hematology·Korenori OhtsuboMichio Sata
May 19, 2007·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Marios PrikisJeffrey M Rimmer
Nov 14, 2007·Journal of Cancer Research and Therapeutics·N UdayakumarR Muthuselvan

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