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D-Lactic acidosis in a boy with short bowel syndrome.
  1. E P Schoorel,
  2. M A Giesberts,
  3. W Blom,
  4. H H van Gelderen


    Metabolic acidosis in a 3-year-old child with short bowel syndrome led to the discovery of massive D-lactic aciduria. After normalisation of the intestinal bacterial flora, D-lactate disappeared together with the acidosis. Dysbacteriosis with excessive production of D-lactate by intestinal bacteria (unidentified) and subsequent absorption explains this unusual cause of metabolic acidosis.

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