17 January 2022
: Case report 
Severe Anion Gap Metabolic Acidosis Resulting from Combined Chronic Acetaminophen Toxicity and Starvation Ketosis: A Case Report and Literature Review
Challenging differential diagnosis, Adverse events of drug therapy, Rare coexistence of disease or pathology
Thomas Kalinoski1ABCDEF*DOI: 10.12659/AJCR.934410
Am J Case Rep 2022; 23:e934410
Table 2. Other laboratory studies.
| Test | Result |
|---|---|
| Salicylate level (normal negative) | Negative |
| Osmolal gap (mOsm/Kg, normal <10) | 1 |
| Serum beta-hydroxybutyrate (mmol/L, normal <0.5) | 0.18 |
| D-lactic acid (normal negative) | Negative |
| Urine 5-oxoproline (mmol/mol creatinine, normal <70) | 8,213 |
| Blood alcohol level (normal negative) | Negative |