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Updated: Aug 7, 2026

Measuring Lactase Enzymatic Activity in the Teaching Lab
Published on: August 6, 2018
[Symptomatic hyperlactatemia associated with the use of antiretroviral agents]
J Olalla Sierra1, R Rubio García, F López-Medrano
1Servicio de Medicina Interna. Hospital Costa del Sol. Marbella (Málaga). Spain.
Abstract:
Lactic acidosis has been reported as a rare but potentially fatal complication of anti-retroviral therapy in HIV-infected patients, mostly with nucleoside analogues. Two cases of lactic acidosis with a favorable prognosis are here reported. So far, no distinct risk factors associated with the development of lactic acidosis have been identified which were associated with the use of anti-retroviral agents, apart from female sex, obesity, and the prolonged use of necleoside reverse transcriptase inhibitors. Currently, there is no specific treatment for this condition, apart from drug discontinuation and hydro-electrolytic support. Several therapies based upon the pathophysiology of this entity have been tested, but none of them has been validated so far.
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