Severe metabolic acidosis secondary to exertional hyperlactemia

Am J Emerg Med. 1988 Mar;6(2):134-6. doi: 10.1016/0735-6757(88)90051-4.


A case is presented of severe metabolic acidosis in a previously healthy man. The cause was attributed to lactic acidosis secondary to exertion. Although lactic acid is commonly produced with increased physical activity, it is usually cleared and buffered rapidly. The pathophysiology of lactic acidosis is discussed.

Publication types

  • Case Reports

MeSH terms

  • Acidosis, Lactic / etiology*
  • Acidosis, Lactic / physiopathology
  • Acidosis, Lactic / therapy
  • Adult
  • Bicarbonates / therapeutic use
  • Fluid Therapy
  • Humans
  • Infusions, Intravenous
  • Male
  • Physical Exertion*
  • Sodium / therapeutic use
  • Sodium Bicarbonate


  • Bicarbonates
  • Sodium Bicarbonate
  • Sodium