A rare case of B-cell lymphoma characteristic of persistent lactic acidosis,hypoglycemia,and dyslipidemia in the emergency department

作     者：Shuo Zhang Bing-jie Wang Xiao-lan Chen Hui Xiong Shuo Zhang;Bing-jie Wang;Xiao-lan Chen;Hui Xiong

作者机构：Department of Emergency MedicinePeking University First HospitalBeijing 100034China Department of HematologyPeking University First HospitalBeijing 100034China 

出 版 物：《World Journal of Emergency Medicine》 (世界急诊医学杂志（英文）)

年 卷 期：2022年第13卷第6期

页      面：488-491页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：diagnosis rare prompt 

摘      要：Dear editor,Lactic acidosis is a commonly encountered condition in the emergency department,and the most common causes of lactic acidosis are hypoperfusion and hypoxia induced by sepsis.A number of other diseases can also cause hyperlactatemia,such as hematological malignancies,which can sometimes be life-threatening.Treatment of hyperlactatemia is largely dependent on underlying conditions.Therefore,an accurate diagnosis is important,and prompt treatment could be lifesaving.Despite the advances in medical sciences,lactic acidosis and malignancy have been linked only in a small number of cases,[1]and hypoglycemia and dyslipidemia were rare findings.We report a case of an elderly woman who had persistent lactic acidosis and hypoglycemia with dyslipidemia and was finally diagnosed with B-cell lymphoma.The aim of this case is to highlight the importance of considering hematological malignancies when presented with persistent lactic acidosis and identify a diagnosis for appropriate and timely treatment.