D-lactic acidosis in two patients with short bowel syndrome: bacteriological analyses of the fecal flora

Two cases of D-lactic acidosis associated with short bowel syndrome are described. The administration of kanamycin to the patients showed a decrease in D-lactate in blood and urine in parallel with disappearance of metabolic acidosis. Bacteriological analyses of the fecal flora showed an increase in...

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Veröffentlicht in:European journal of pediatrics 1982-07, Vol.138 (4), p.324-326
Hauptverfasser: Satoh, T, Narisawa, K, Konno, T, Katoh, T, Fujiyama, J, Tomoe, A, Metoki, K, Hayasaka, K, Tada, K, Ishibashi, M, Yamane, N, Mitsuoka, T, Benno, Y
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container_end_page 326
container_issue 4
container_start_page 324
container_title European journal of pediatrics
container_volume 138
creator Satoh, T
Narisawa, K
Konno, T
Katoh, T
Fujiyama, J
Tomoe, A
Metoki, K
Hayasaka, K
Tada, K
Ishibashi, M
Yamane, N
Mitsuoka, T
Benno, Y
description Two cases of D-lactic acidosis associated with short bowel syndrome are described. The administration of kanamycin to the patients showed a decrease in D-lactate in blood and urine in parallel with disappearance of metabolic acidosis. Bacteriological analyses of the fecal flora showed an increase in Lactobacillus buchneri in the first patient and Lactobacillus fermenti IVa in the second; both bacteria were sensitive to kanamycin. Quantification of in vitro production of D-lactate by each species of bacteria isolated from the feces revealed that Lactobacillus produced more D-lactate than other species of bacteria. These observations indicate that Lactobacillus may play an important role in the induction of D-lactic acidosis in patients with short bowel syndrome.
doi_str_mv 10.1007/BF00442509
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source MEDLINE; SpringerLink Journals - AutoHoldings
subjects Acidosis - complications
Acidosis - drug therapy
Acidosis - microbiology
Child, Preschool
Feces - microbiology
Female
Humans
Kanamycin - therapeutic use
Lactates
Lactobacillus - isolation & purification
Lactobacillus buchneri
Lactobacillus fermentum
Malabsorption Syndromes - complications
Male
Short Bowel Syndrome - complications
Short Bowel Syndrome - drug therapy
Short Bowel Syndrome - microbiology
title D-lactic acidosis in two patients with short bowel syndrome: bacteriological analyses of the fecal flora
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