Ugeskr Læger 2016;178:V06160459
Lactic acidosis in a 24-year-old woman with status asthmaticus
A 24-year-old woman with asthma presented with symptoms of upper airway infection and tachypnoea and wheezes. She had a history of admissions to intensive care units (ICU) due to respiratory insufficiency. The initial lactate concentration was 2.1 mmol/l. The treatment consisted of inhaled and intravenous beta 2 agonists. Hereafter, the lactate concentration rose to 9.8 mmol/l, and the patient was admitted to the ICU due to severe asthma exacerbation. The elevation of lactate concentration cleared after discontinuation of beta 2 agonist therapy. Although lactic acidosis is a rare side effect to beta 2 agonist treatment, it is important to recognize it when present.