Caffeine poisoning and lactate rise: an overlooked toxic effect?

被引:22
|
作者
Schmidt, A. [1 ]
Karlson-Stiber, C. [2 ]
机构
[1] Malmo Univ Hosp, Dept Intens Care Med, SE-20502 Malmo, Sweden
[2] Swedish Poisons Informat Ctr, Stockholm, Sweden
关键词
intoxication; poisoning; lactate; caffeine; beta-blocker; propranolol;
D O I
10.1111/j.1399-6576.2008.01680.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Severe caffeine poisoning is rare but associated with a high mortality. The symptoms are mainly attributable to hyperadrenergic stimulation, are relatively well known and described in the literature. Transient rises in plasma lactate levels may occur but are, however, less well described. We present a case of serious caffeine poisoning with a concomitant rise in lactate treated with a non-selective beta-blocker and discuss briefly the symptomatology, the management of caffeine poisoning and the association between lactate and metabolic acidosis.
引用
收藏
页码:1012 / 1014
页数:3
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