Reccurent Reversible Encephalopathy with Ataxia and D-Lactic acidosis in Short bowel Syndrome

The short gut syndrome can lead to multiple metabolic disorders along with chronic malnutrition. Such patients can develop changes in mental status due to metabolic alterations. We present a case of an eleven-year-old male who presented to the hospital with an altered mental state. There were rep...

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Main Authors: Abdul Rana, Salman Assad, Sucharita Katikala, Shuja Asad Malik, Mahmoud Abouzid, Mehar Zahid, Swaroopa Pulivarthi
Format: Article
Language:English
Published: Marshall University 2020-07-01
Series:Marshall Journal of Medicine
Subjects:
Online Access:https://mds.marshall.edu/cgi/viewcontent.cgi?article=1260&context=mjm
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spelling doaj-3b32837b498d4266929725604d06f3ba2020-11-25T03:26:08ZengMarshall UniversityMarshall Journal of Medicine 2379-95362020-07-0163434910.33470/2379-9536.1260Reccurent Reversible Encephalopathy with Ataxia and D-Lactic acidosis in Short bowel SyndromeAbdul Rana0Salman Assad 1Sucharita Katikala 2Shuja Asad Malik3Mahmoud Abouzid4Mehar Zahid 5Swaroopa Pulivarthi6Marshall University Joan C. Edwards School of MedicineMarshall University Joan C. Edwards School of MedicineMarshall University Joan C. Edwards School of MedicineUniversity of GujratMarshall University Joan C. Edwards School of MedicineMarshall University Joan C. Edwards School of MedicineMarshall University Joan C. Edwards School of MedicineThe short gut syndrome can lead to multiple metabolic disorders along with chronic malnutrition. Such patients can develop changes in mental status due to metabolic alterations. We present a case of an eleven-year-old male who presented to the hospital with an altered mental state. There were repeated admissions to the hospital with similar complaints with non-conclusive cerebrospinal fluid analysis and normal neuroimaging findings. The patient suffered from chronic malnutrition and multiple hospitalizations with altered mental status, encephalopathy. However, he responded well to bicarbonate therapy and prophylactic metronidazole treatment. https://mds.marshall.edu/cgi/viewcontent.cgi?article=1260&context=mjmd-lactic acidosisencephalopathyshort gut syndrome
collection DOAJ
language English
format Article
sources DOAJ
author Abdul Rana
Salman Assad
Sucharita Katikala
Shuja Asad Malik
Mahmoud Abouzid
Mehar Zahid
Swaroopa Pulivarthi
spellingShingle Abdul Rana
Salman Assad
Sucharita Katikala
Shuja Asad Malik
Mahmoud Abouzid
Mehar Zahid
Swaroopa Pulivarthi
Reccurent Reversible Encephalopathy with Ataxia and D-Lactic acidosis in Short bowel Syndrome
Marshall Journal of Medicine
d-lactic acidosis
encephalopathy
short gut syndrome
author_facet Abdul Rana
Salman Assad
Sucharita Katikala
Shuja Asad Malik
Mahmoud Abouzid
Mehar Zahid
Swaroopa Pulivarthi
author_sort Abdul Rana
title Reccurent Reversible Encephalopathy with Ataxia and D-Lactic acidosis in Short bowel Syndrome
title_short Reccurent Reversible Encephalopathy with Ataxia and D-Lactic acidosis in Short bowel Syndrome
title_full Reccurent Reversible Encephalopathy with Ataxia and D-Lactic acidosis in Short bowel Syndrome
title_fullStr Reccurent Reversible Encephalopathy with Ataxia and D-Lactic acidosis in Short bowel Syndrome
title_full_unstemmed Reccurent Reversible Encephalopathy with Ataxia and D-Lactic acidosis in Short bowel Syndrome
title_sort reccurent reversible encephalopathy with ataxia and d-lactic acidosis in short bowel syndrome
publisher Marshall University
series Marshall Journal of Medicine
issn 2379-9536
publishDate 2020-07-01
description The short gut syndrome can lead to multiple metabolic disorders along with chronic malnutrition. Such patients can develop changes in mental status due to metabolic alterations. We present a case of an eleven-year-old male who presented to the hospital with an altered mental state. There were repeated admissions to the hospital with similar complaints with non-conclusive cerebrospinal fluid analysis and normal neuroimaging findings. The patient suffered from chronic malnutrition and multiple hospitalizations with altered mental status, encephalopathy. However, he responded well to bicarbonate therapy and prophylactic metronidazole treatment.
topic d-lactic acidosis
encephalopathy
short gut syndrome
url https://mds.marshall.edu/cgi/viewcontent.cgi?article=1260&context=mjm
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