QJM Advance Access originally published online on August 28, 2008
QJM 2008 101(10):825-826; doi:10.1093/qjmed/hcn086
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© The Author 2008. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
The importance of never ignoring an unexplained metabolic acidosis
Chelsea and Westminster Hospital, Fulham Road, London, UK.
email: yasminpasha@doctors.org.uk
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An 80-year-lady was admitted with coffee ground vomiting and productive cough. She was recently treated for community-acquired pneumonia with Augmentin. Clinical and biochemical deterioration continued despite antibiotics and within 48 h was requiring non-invasive