Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
Journal website http://www.journalmc.org

Case Report

Volume 2, Number 2, April 2011, pages 87-90


Fulminant Form of Mitochondrial Myopathy, Encephalopathy, Lactic Acidosis, and Stroke-Like Episodes: A Diagnostic Challenge

Tables

Table 1. Arterial Blood Gas Values*
 
VariableValue
*Obtained in the emergency room of the hospital while breathing 100% oxygen under artificial ventilation.
pH7.49
Partial pressure of oxygen (mm Hg)151
Partial pressure of carbon dioxide (mm Hg)21
Bicarbonate (mmol/L)15.8
Base excess (mmol/L)-6.9
Oxygen saturation (%)99.3

 

Table 2. Findings From Lumbar Puncture
 
VariableFinding
Appearance of fluidClear, colorless
Cells (per cubic millimeter)9
MicroorganismsAbsent
Glucose (mg/dl)80
Total protein (mg/dl)30

 

Table 3. Arterial Blood Lactate Levels*
 
*Normal range: 0.6 - 1.7 mmol/L.
Day46891011121314151617
Lactate4.33.81.03.13.33.01.84.63.72.73.76.7