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A 69-year-old woman developed high anion gap metabolic acidosis (HAGMA) following treatment with paracetamol and fosfomycin [not all indications stated; routes and time to reaction onset not stated].
The woman presented with pallor, hyperventilation, lowered consciousness, vomiting, diarrhoea, hemiparesis and wheezing. Two weeks prior to admission, she had a tibia fracture. She had a history of arterial hypertension, persistent vulvovaginitis, type 2 diabetes mellitus with polyneuropathy and heart failure. In past, she had undergone gastric bypass surgery, right-sided nephrectomy and cholecystectomy, and she also had transient ischaemic attack. She had been receiving treatment with several unspecified...