Oh wait ... It isn't MUDPILES! Acute toxic encephalopathy with an interesting anion gap metabolic acidosis resulting in prolonged invasive mechanical ventilation

A 70-year-old white female patient with past medical history of migraine, fibromyalgia, diverticulitis, and hypothyroidism presented to the emergency department accompanied by her husband for one day of altered mentation, nausea and vomiting. Laboratory testing showed oligo-anuric acute kidney injur...

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Bibliographic Details
Main Authors: Khalid Sawalha (Author), Sai Desikan (Author), Gilbert-Roy Kamoga (Author)
Format: Book
Published: Greater Baltimore Medical Center, 2021-09-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Khalid Sawalha  |e author 
700 1 0 |a Sai Desikan  |e author 
700 1 0 |a Gilbert-Roy Kamoga  |e author 
245 0 0 |a Oh wait ... It isn't MUDPILES! Acute toxic encephalopathy with an interesting anion gap metabolic acidosis resulting in prolonged invasive mechanical ventilation 
260 |b Greater Baltimore Medical Center,   |c 2021-09-01T00:00:00Z. 
500 |a 2000-9666 
500 |a 10.1080/20009666.2021.1942670 
520 |a A 70-year-old white female patient with past medical history of migraine, fibromyalgia, diverticulitis, and hypothyroidism presented to the emergency department accompanied by her husband for one day of altered mentation, nausea and vomiting. Laboratory testing showed oligo-anuric acute kidney injury with a severely high anion gap metabolic acidosis. Urine drug screen was negative. Brain imaging and lumbar puncture were negative for acute findings. We report this unique case by going through the differential for anion gap metabolic acidosis secondary to Celecoxib as well as a unique drug-drug interaction between Celecoxib and Gabapentin. 
546 |a EN 
690 |a celecoxib overdose 
690 |a nsaid 
690 |a altered mental status 
690 |a acute respiratory failure 
690 |a prolonged mechanical ventilation 
690 |a gabapentin 
690 |a Internal medicine 
690 |a RC31-1245 
655 7 |a article  |2 local 
786 0 |n Journal of Community Hospital Internal Medicine Perspectives, Vol 11, Iss 5, Pp 670-672 (2021) 
787 0 |n http://dx.doi.org/10.1080/20009666.2021.1942670 
787 0 |n https://doaj.org/toc/2000-9666 
856 4 1 |u https://doaj.org/article/251774433aec4edca3f8e76a54a1fcc4  |z Connect to this object online.