Getting Burned by Lactic Acid

J. C. McAvoy, A. Khurana
2016 Hospital Pediatrics  
A 13-year-old boy with a history of moderate, persistent asthma was transferred to our facility from an outside hospital with shortness of breath and cough of 2 days' duration. In the emergency department at the other facility, initial vitals were temperature, 98.9°F; heart rate, 120 beats per minute; respiration rate, 40; pulse oxygen saturation, 87% on room air; and blood pressure, 191/63 and 128/41 upon repeat. Screening laboratory tests were performed: the complete blood count was within
more » ... count was within reference ranges, serum chemistry was notable for a bicarbonate concentration of 29 mEq/L, and peripheral venous lactate was 2.8 mmol/L. Chest x-ray showed central peribronchial cuffing consistent with viral infection.
doi:10.1542/hpeds.2016-0005 pmid:27488209 fatcat:agjwizdzyfhbzpilowag6lfho4