Lactic Acidosis during Metformin Treatment in an Elderly Diabetic Patient with Impaired Renal Function

Abstract
In recent years, lactic acidosis has been described in association with metformin therapy in diabetics. A fatal case in an elderly diabetic patient with impaired renal function and cardiac insufficiency is reported. The patient presented with an elevated plasma metformin concentration and a concomitant digitoxin intoxication.

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