{Reference Type}: Case Reports
{Title}: Possible cannabinoid-induced lactic acidosis requiring emergent dialysis.
{Author}: Cummins MH;Croft BJ;
{Journal}: SAGE Open Med Case Rep
{Volume}: 12
{Issue}: 0
{Year}: 2024
暂无{DOI}: 10.1177/2050313X241265069
{Abstract}: Lactic acidosis is a common finding in the intensive care unit and is associated with increased mortality. We present the case of a 42-year-old male with alcohol use disorder and cirrhosis who developed sudden onset shortness of breath while smoking marijuana. He was found to have a lactic acid level of 25.6 mmol/L with a significant anion gap metabolic acidosis requiring emergent dialysis. He was hypertensive without evidence of tissue hypoperfusion. His profound type B lactic acidosis was primarily attributed to a rare manifestation of cannabinoid toxicity. At a clinic visit 3 months later, he was doing well and had not smoked marijuana since his discharge.