This article reports the case of a 36-year-old man on hemodialysis who presented to an intensive care unit with a large serum anion gap and symptoms such as hypotension and an altered mental state. For the previous 6 weeks, he had received linezolid to treat vancomycin-resistant bacteremia. Discontinuation of linezolid led to resolution of his symptoms and to normalization of the serum anion gap and serum lactate levels. The authors conclude that the patient had suffered from lactic acidosis caused by linezolid.
- Juan Carlos Q. Velez
- Michael G. Janech
