Evidence map›Paper›PMID 34786220›Full record

ArticleCureus2021

Concealed Malignancy as a Rare Cause of Refractory Lactic Acidosis: A Fatal Case.

Mahammed Z Khan Suheb, Wasey Ali Yadullahi Mir, Farheen Naaz, Dhan B Shrestha, Anuj K Paudel

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Cureus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 84% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Mahammed Z Khan SuhebDepartment of Internal Medicine, University of Nebraska Medical Center, Omaha, USA.
Wasey Ali Yadullahi MirDepartment of Internal Medicine, Mount Sinai Hospital, Chicago, USA.
Farheen NaazDepartment Internal Medicine, Deccan College of Medical Sciences, Hyderabad, IND.
Dhan B ShresthaDepartment of Internal Medicine, Mount Sinai Hospital, Chicago, USA.
Anuj K PaudelDepartment of Emergency Medicine, Metrocity Hospital and Research Center, Pokhara, NPL.
Mount Sinai Hospital · USDeccan College of Medical Sciences · INUniversity of Nebraska Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lactic acidosis is a state in which there is a buildup of lactate in the body to form an excessively low pH in the blood. Elevated lactate levels are often thought to be indicative of relative tissue hypoxia or type A lactic acidosis. Shock, severe anemia, and thromboembolic events can all cause elevated lactate due to tissue hypoperfusion. Malignancy can also lead to an elevation in lactate, a phenomenon described as type B lactic acidosis. Here, we report a case of a 66-year-old male with elevated lactate level, which was refractory to medical treatment. Despite adequate management, including continuous renal replacement therapy, the lactate continued to rise, and consequently, the patient died due to cardiac arrest. Type B lactic acidosis must be considered in patients with elevated lactate levels without hypotension as it has a high mortality rate.

Indexed as

hypotensionhypoxialactic acidosisneoplasmsshock

Identifiers

PMID34786220
PMCPMC8577822
OpenAlexW3202431304

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.