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

Authors

Abdul Rana, Marshall University Joan Edwards School of Medicine, WV, USAFollow
Salman Assad, Marshall University Joan C. Edwards School of Medicine, WV, USAFollow
Sucharita Katikala, Marshall University Joan C. Edwards School of Medicine, WV, USAFollow
Shuja Asad Malik, University of Gujrat, PakistanFollow
Mahmoud Abouzid, Marshall University Joan C. Edwards School of Medicine, WV, USAFollow
Mehar Zahid, Marshall University Joan C. Edwards School of Medicine, WV, USAFollow
Swaroopa Pulivarthi, Marshall University Joan C. Edwards School of Medicine, WV, USAFollow

Author Credentials

Abdul Rana MD Salman Assad MD Sucharita Katikala MD Shuja Asad Malik MD Mahmoud Abouzid MD Mehar Zahid MD Swaroopa Pulivarthi MD

Author ORCID Identifier

https://orcid.org/0000-0002-5830-9997

Keywords

D-Lactic acidosis, Encephalopathy, Short gut syndrome

Disciplines

Medicine and Health Sciences | Neurology

Abstract

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 eleven years old male who presented to the hospital with an altered mental state. There were repeated admissions to the hospital with a similar complain 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.

Recommended Citation

Rana A, Assad S, Katikala S, et al. Reccurent Reversible Encephalopathy with Ataxia and D-Lactic acidosis in Short bowel Syndrome. Marshall J Med. 2020; 6(3): 43 DOI: https://doi.org/10.33470/2379-9536.1260.