D-lactic acidosis mediated neuronal encephalopathy in acute lymphoblastic leukemia patient: an under diagnosis.
BACKGROUND
D-lactic acidosis, also referred as D-lactate encephalopathy, has been reported in patients with short bowl syndrome (SBS).


CASE REPORT
The neurologic symptoms include altered mental status, slurred speech, and ataxia. Onset of neurological symptoms is accompanied by metabolic acidosis and high anion gap. We present here a case of D-lactic acidosis in a patient with acute lymphoblastic leukemia (ALL) who developed severe neurological symptoms and metabolic acidosis due to vancomycin-resistant enterococci (VRE) infection, and elevated D-lactic acid.
['Mendu|Damodara Rao|DR|', 'Fleisher|Martin|M|', 'McCash|Samuel I|SI|', 'Pessin|Melissa S|MS|', 'Ramanathan|Lakshmi V|LV|']
D000140:Acidosis, Lactic D000368:Aged D001927:Brain Diseases D005260:Female D006801:Humans D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma
D-lactic acid Hematological malignancy Neuropathy