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



D-Lactic acidosis, Encephalopathy, Short gut syndrome


Medicine and Health Sciences | Neurology


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.

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