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급성 신손상과 동반된 metformin 관련 중증 유산산증 1예
전해리 ( Hae Ri Chon ),김민정 ( Min Jung Kim ),김동현 ( Dong Hyun Kim ),구남호 ( Nam Ho Koo ),장세헌 ( Sae Heun Jang ),천미주 ( Mi Ju Chon ),정시정 ( Shi Jung Chung ) 전북대학교 의과학연구소 2012 全北醫大論文集 Vol.36 No.2
Metformin is the first line therapy for the treatment of type 2 diabetes mellitus. Metformin associated lactic acidosis is rare, but potentially life-threatening adverse effect. It may occur as a result of drug overdose, kidney injury or hepatic disease. We report a case of a 49-years-old man presented with general weakness, severe diarrhea and vomiting for several days. Arterial blood gas analysis showed severe metabolic acidosis and lactate level of 17.4 mmol/L. Serum creatinine level was 9.3 mg/dL. His current medications included metformin 3700 mg daily. We diagnosed him as metformin- induced lactic acidosis precipitated by acute kidney injury and drug overdose. We treated him with intravenous bicarbonate and hemodialysis with bicarbonate-rich dialysate and his renal function and acidosis were fully recovered.