id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
ecj-5659	Granauro, Patricia; Di Comite, Vincenzo; Lippi, Giuseppe; Marzi, Umberto; Cervellin, Gianfranco	Severe acute lactic acidosis and hypoglycemia due to isolate tramadol poisoning	2016	2	.pdf	application/pdf	1968	101	55	[page 41] Discussion Hypoglycemia has been extensively described as a possible, albeit rare, adverse effect of tramadol, even at therapeutic dosages, surprisingly especially in patients without a history of diabetes mellitus, and not taking anti-diabetic drugs.20 Our case is, how- ever, the very first case report of severe acute lactic acidosis triggered by tramadol, although in presence of concomitant transient and promptly corrected hypoglycemia. [Emergency Care Journal 2016; 12:5659] Severe acute lactic acidosis and hypoglycemia due to isolate tramadol poisoning Patricia Granauro,1 Vincenzo Di Comite,2 Giuseppe Lippi,3 Umberto Marzi,4 Gianfranco Cervellin1 1Emergency Department, University Hospital of Parma, Parma; 2Internal Medicine Unit, University Hospital of Parma, Parma; 3Section of Clinical Chemistry, University of Verona, Verona; 4Intensive Care Unit, University Hospital of Parma, Parma, Italy Abstract The article describes a case of severe acute lactic acidosis and hypoglycemia after inten- tional ingestion of tramadol overdose.	cache/ecj-5659.pdf	txt/ecj-5659.txt