Case of the Week: Pneumonia and Metabolic Acidosis

The Case of the Week series features a different article from Clinical Cases and Images each week:

Pneumonia and Metabolic Acidosis in a 35-kilogram Man

A 71-year-old African American male (AAM) is admitted to the hospital with the chief complaint of shortness of breath (SOB) which has had become progressively worse during the last 4-5 days.


A previous CXR (6 months ago), left. Right-sided pneumonia, right.

ABG: 7.25-31-62-13

What is the most likely diagnosis?

Why does he have acidosis?

Read more in Pneumonia and Metabolic Acidosis in a 35-kilogram Man.

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References:
Starting "Case of the Week" Series in Response to Reader Requests. Clinical Cases and Images - Blog, Nov 2008.
Clinical Cases and Images: About Us.
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