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 |
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container_title | European journal of pediatrics |
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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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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. 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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.</description><subject>Acidosis - complications</subject><subject>Acidosis - drug therapy</subject><subject>Acidosis - microbiology</subject><subject>Child, Preschool</subject><subject>Feces - microbiology</subject><subject>Female</subject><subject>Humans</subject><subject>Kanamycin - therapeutic use</subject><subject>Lactates</subject><subject>Lactobacillus - isolation & purification</subject><subject>Lactobacillus buchneri</subject><subject>Lactobacillus fermentum</subject><subject>Malabsorption Syndromes - complications</subject><subject>Male</subject><subject>Short Bowel Syndrome - complications</subject><subject>Short Bowel Syndrome - drug therapy</subject><subject>Short Bowel Syndrome - microbiology</subject><issn>0340-6199</issn><issn>1432-1076</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1982</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkM9LwzAcxYMoc04v3oWcPAjVJE2T1pvOnzDwoueSpt_YSNrMJGPsv7djQ4-eHjw-7x0-CJ1Tck0JkTf3T4RwzgpSHaAp5TnLKJHiEE1JzkkmaFUdo5MYv8gIV7ScoImkrBScTlH3kDmlk9VYadv6aCO2A05rj5cqWRhSxGubOhw7HxJu_BocjpuhDb6HW9yMUwjWO_9ptXJYDcptIkTsDU4dYAPb1jgf1Ck6MspFONvnDH08Pb7PX7LF2_Pr_G6RacbKlMlKQaVZa4RoW6M4lRWIBmhDODWEaCN0roXm20oLxiWYQmpFWCtzWRiWz9Dl7ncZ_PcKYqp7GzU4pwbwq1hLzvgoqvgXpHnBKS3pCF7tQB18jAFMvQy2V2FTU1Jv_dd__kf4Yv-6anpof9G98PwHO36BAg</recordid><startdate>198207</startdate><enddate>198207</enddate><creator>Satoh, T</creator><creator>Narisawa, K</creator><creator>Konno, T</creator><creator>Katoh, T</creator><creator>Fujiyama, J</creator><creator>Tomoe, A</creator><creator>Metoki, K</creator><creator>Hayasaka, K</creator><creator>Tada, K</creator><creator>Ishibashi, M</creator><creator>Yamane, N</creator><creator>Mitsuoka, T</creator><creator>Benno, Y</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>198207</creationdate><title>D-lactic acidosis in two patients with short bowel syndrome: bacteriological analyses of the fecal flora</title><author>Satoh, T ; 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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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