A Case of Lactic Acidosis Complicating Hyperosmolar Nonketotic Diabetic Coma and Myocardial Infarction

Abstract

A 67-year-old woman with a 15-year history of diabetes mellitus developed hyperosolar nonketotic diabetic coma and myocardial infarction.Severe metabolic acidosis, however, was observed with marked increases in serum lactate and pyruvate.This represents a rare instance of lactic acidosis complicating hyperosolar nonketotic diabetic coma and myocardial infarction.It appears that the lactic acidosis in the patient may have been induced by multiple factors such as hyperglycemia, infection, dehydration, myocardial infarction, and progression of bleeding probably by DIC