Resistant Lactic Acidemia Due to Accidental Cheese Starter Culture Ingestion

Am J Emerg Med. 2022 Oct:60:228.e1-228.e2. doi: 10.1016/j.ajem.2022.07.046. Epub 2022 Jul 26.

Abstract

Lactic acid is the end-product of anaerobic glycolysis. It is generally believed that elevated blood lactate levels are associated with poor patient outcomes. Literature reports that lactic acidosis can be related to supplementary food intake in the pediatric age group however, in adult patients, it is not common to see lactic acidosis due to oral ingestion unless the patient has a history of short bowel syndrome or jejunoileal bypass surgery. With the current case presentation, we report an accidental cheese starter culture intake that resulted in resistant lactic acidosis with no signs of critical illnesses.

Keywords: Cheese starter culture; Intoxication; Lactate; Lactic acid bacteria; Lactic acidosis.

Publication types

  • Case Reports

MeSH terms

  • Acidosis, Lactic* / chemically induced
  • Acidosis, Lactic* / complications
  • Adult
  • Cheese* / adverse effects
  • Child
  • Eating
  • Humans
  • Lactic Acid
  • Short Bowel Syndrome* / complications

Substances

  • Lactic Acid