{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T13:40:56Z","timestamp":1753882856697,"version":"3.41.2"},"reference-count":15,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Medical Case Reports"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p> Lactic acidosis is a common finding in the intensive care unit and is associated with increased mortality. We present the case of a 42-year-old male with alcohol use disorder and cirrhosis who developed sudden onset shortness of breath while smoking marijuana. He was found to have a lactic acid level of 25.6 mmol\/L with a significant anion gap metabolic acidosis requiring emergent dialysis. He was hypertensive without evidence of tissue hypoperfusion. His profound type B lactic acidosis was primarily attributed to a rare manifestation of cannabinoid toxicity. At a clinic visit 3 months later, he was doing well and had not smoked marijuana since his discharge. <\/jats:p>","DOI":"10.1177\/2050313x241265069","type":"journal-article","created":{"date-parts":[[2024,7,26]],"date-time":"2024-07-26T12:12:38Z","timestamp":1721995958000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Possible cannabinoid-induced lactic acidosis requiring emergent dialysis"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2269-9169","authenticated-orcid":false,"given":"Marcus H","family":"Cummins","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, University of California San Francisco\u2014Fresno, Fresno, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brandon J","family":"Croft","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of California San Francisco\u2014Fresno, Fresno, CA, USA"},{"name":"Department of Pulmonary and Critical Care Medicine, University of California San Francisco\u2014Fresno, Fresno, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,7,26]]},"reference":[{"key":"bibr1-2050313X241265069","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2017.07.039"},{"key":"bibr2-2050313X241265069","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1309483"},{"issue":"11","key":"bibr3-2050313X241265069","first-page":"e11514","volume":"12","author":"Nightingale S","year":"2020","journal-title":"Cureus"},{"issue":"5","key":"bibr4-2050313X241265069","first-page":"e8269","volume":"12","author":"Meegada S","year":"2020","journal-title":"Cureus"},{"key":"bibr5-2050313X241265069","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-021-03677-4"},{"key":"bibr6-2050313X241265069","doi-asserted-by":"publisher","DOI":"10.4103\/ijccm.IJCCM_167_17"},{"key":"bibr7-2050313X241265069","doi-asserted-by":"publisher","DOI":"10.12659\/AJCR.935730"},{"key":"bibr8-2050313X241265069","unstructured":"Wiley KD, Gupta M. Vitamin B1 (thiamine) deficiency. In: StatPearls. Treasure Island (FL): StatPearls Publishing, https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK537204\/ (2023, accessed 17 July 2023)."},{"key":"bibr9-2050313X241265069","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-pharmtox-031122-113758"},{"key":"bibr10-2050313X241265069","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-113-8-580"},{"key":"bibr11-2050313X241265069","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000022492"},{"key":"bibr12-2050313X241265069","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.1070073"},{"issue":"4","key":"bibr13-2050313X241265069","first-page":"A2260","volume":"164","author":"Hopkins L","year":"2023","journal-title":"CHEST Critical Care"},{"issue":"3","key":"bibr14-2050313X241265069","first-page":"155","volume":"167","author":"Antill T","year":"2015","journal-title":"J La State Med Soc"},{"issue":"4","key":"bibr15-2050313X241265069","volume":"38","author":"Al Shabeeb R","year":"2021","journal-title":"Fed Pract"}],"container-title":["SAGE Open Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X241265069","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2050313X241265069","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X241265069","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,28]],"date-time":"2025-02-28T19:49:53Z","timestamp":1740772193000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2050313X241265069"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":15,"alternative-id":["10.1177\/2050313X241265069"],"URL":"https:\/\/doi.org\/10.1177\/2050313x241265069","relation":{},"ISSN":["2050-313X","2050-313X"],"issn-type":[{"type":"print","value":"2050-313X"},{"type":"electronic","value":"2050-313X"}],"subject":[],"published":{"date-parts":[[2024,1]]},"article-number":"2050313X241265069"}}