Treatment of a patient with severe lactic acidosis and multiple organ failure due to mitochondrial myopathy: A case report

Table 1 Time course of lactate levels and hemodynamic support during the first 7 d

Days	Norepinephrine (µg/kg/min)	Epinephrine (µg/kg/min)	Lactic acid (mmol/L)	Blood pressure (mmHg)	ECMO
1	18.2	1	31	70/30	+
2	10.8	0.5	27	110/70	+
3	3.2	0.1	15	120/65	+
4	1.8	0.05	11.5	125/73	+
5	0.16	-	9.2	130/75	+
6	0.04	-	6.8	140/75	+
7	-	-	3.4	120/73	-

“+” indicates use during hospitalization; “_” indicates not use during hospitalization. As the treatment progressed, the patient's vasoactive drugs became less and less, lactic acid became lower and lower, and extracorporeal membrane oxygenation was withdrawn. ECMO: Extracorporeal membrane oxygenation.