| Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access |
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Case Report
Volume 16, Number 2, February 2025, pages 77-81
Lactic Acidosis and Electrolyte Disturbances Associated With Hypertriglyceridemia in an Adolescent Receiving Chemotherapy for Acute Lymphoblastic Lymphoma
Tables
| Sulfamethoxazole-trimethoprim |
| Posaconazole |
| Nifedipine |
| Mirtazapine |
| Scopolamine patch |
| Cyproheptadine |
| Enoxaparin subcutaneous |
| Medroxyprogesterone |
| Famotidine |
| Laboratory value | DOH 1 | DOH 2 | DOH 3 | DOH 4 | DOH 5 | DOH 6 | DOH 7 | DOH 8 | DOH 9 | Two weeks after discharge | Reference range |
|---|---|---|---|---|---|---|---|---|---|---|---|
| The patient was in the PICU on DOH 1-5 and then the patient hematology/oncology inpatient ward on DOH 6-9. DOH: day of hospitalization; PICU: pediatric intensive care unit. | |||||||||||
| Sodium | 117 - 124 | 114 - 130 | 116 - 130 | 117 - 125 | 111 - 114 | 112 - 120 | 117 - 123 | 125 - 130 | 131 - 135 | 139 | 135 - 145 mmol/L |
| Chloride | 84 - 88 | 85 | 88 | 88 | 79 - 82 | 80 - 87 | 83 - 87 | 9 - 94 | 97 - 99 | 103 | 98 - 110 mmol/L |
| Carbon dioxide | 13 - 16 | 17 | 16 | 17 - 18 | 18 - 19 | 19 - 15 | 2 - 24 | 24 - 25 | 24 - 27 | 25 | 21 - 30 mmol/L |
| Triglycerides | 4,952 | 3,490 | 2,540 | 2,601 | 1,798 | 1,632 | - | - | - | 372 | < 90 mmol/L |
| Lactate | 4.3 - 6.6 | 6.2 - 8 | 4.4 - 5.5 | 6.6 | 4.5 | 4 | 3.8 | 2.9 | 3.5 | - | 0.5 - 2.2 mmol/L |