Cardiol Young. 2025 May 21:1-3. doi: 10.1017/S1047951125001830. Online ahead of print.
ABSTRACT
Hyperlactatemia is a common and concerning finding in the paediatric cardiac ICU as it may signify tissue hypoperfusion and/or hypoxia. However, it is important to include other aetiologies for an elevated lactate in the differential, especially when the lactate is significantly elevated (> 8 mmol/L). We present the case of metabolic acidosis with severe hyperlactatemia secondary to Warburg effect and presumed thiamine deficiency in a paediatric heart transplant patient with post-transplant lymphoproliferative disorder.
PMID:40394735 | DOI:10.1017/S1047951125001830
