Conference abstract

Metformin-associated lactic acidosis treated successfully by peritoneal dialysis in a resource limited setting:case report

Pan African Medical Journal - Conference Proceedings. 2021:11(24).30 Dec 2021.
doi: 10.11604/pamj-cp.2021.11.24.937

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Keywords: Metformin, lactic acidosis, peritoneal dialysis, South Africa
Abstract

Metformin-associated lactic acidosis treated successfully by peritoneal dialysis in a resource limited setting:case report

Khaled Elmezughi1,&, Chukwuma Ekpebegh1

1Department of Internal Medicine, Walter Sisulu University, Mthatha, South Africa

&Corresponding author

Introduction: Metformin is a commonly used treatment modality in type 2 diabetes mellitus with lactic acidosis as a rare but life-threatening side effect. In this case report we highlight the importance of recognizing this uncommon side effect and the treatment options in a resource limited situation. Case presentation: we present a 14-year-old African girl who ingested an unknown amount of metformin intentionally after an argument with her mother. She was referred late to our institution in severe lactic acidosis. Lactic acidosis resolved with appropriate treatment including peritoneal dialysis. Conclusion: in resource constrained settings, peritoneal dialysis may be used for metformin associated lactic acidosis with favourable outcome.