All you need do as I did at the JR2 is an LDH assay with a bacterial
d-isomer LDH. Simple.
JML
Dr John M. Land
Clinical Lead Biochemical Medicine
UCLH NHS Foundation Trust
Neurometabolic Unit Box 105
National Hospital
Queen Square
London WC1N 3BG
44-(0)20-7829-8768
-----Original Message-----
From: Clinical biochemistry discussion list
[mailto:[log in to unmask]] On Behalf Of Julian Barth
Sent: 27 April 2007 12:04
To: [log in to unmask]
Subject: assay help please
Does anyone offer a service for d-lactate - see clinical scenario below
Many thanks Julian
<<<snip>>> one of my short bowel patients (only 10 cm small bowel, all
of colon) has good oral intake of food, and recurrent episodes of
unwellness including acidosis, and recently depressed level of
consciousness. So far I think they have all been associated with
positive blood culture, but most recently she remained sleepy for about
24 hours and I wondered if she might have D lactic acidosis, a known
risk in such patients. <<<snip>>>
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