1Dept of Paediatrics
2Dept of Emergency Medicine
3Dept of Paediatrics, Afyon Kocatepe University, Faculty of Medicine, Afyon, Turkey
*(Corresponding author), Dept of Paediatrics
Metformin is widely used in the treatment of type 2 diabetes. Overdose with this drug in children may cause profound, wide anion-gap metabolic acidosis and may be potentially lethal. After correction of circulation deficits, bicarbonate replacement may be sufficient for the treatment of acidosis, and there may be no need for haemodyalisis. A case of a teenager is reported in this paper who ingested one of the largest amounts of metformin reported in the literature in a suicide attempt.
metformin, paediatric, lactic acidosis
