# Survival Without Sequelae From Severe Acidosis Due to Sepsis and Acute Kidney Injury Following Colitis: A Case Report

## TL;DR

A patient with severe acidosis due to sepsis and kidney injury survived without long-term effects thanks to timely treatment and a team-based approach.

## Contribution

This case highlights that severe acidosis is not always fatal if treated promptly and effectively.

## Key findings

- A patient with a pH below 6.5 due to acidosis survived with no functional deficits.
- Timely resuscitation and a multidisciplinary approach were key to the patient's recovery.
- Severe acidosis can be compatible with life when managed aggressively.

## Abstract

When the pH is significantly low, metabolic acidosis is considered severe, and such a low level is typically regarded as incompatible with life. Despite being an indication of a bad prognosis, severe acidosis alone is not a strong enough predictor of outcome to support the refusal of resuscitation. Timely interventions can sometimes achieve recovery from extremely severe acidosis. Here, we report a case of severe metabolic acidosis with a pH less than 6.5 associated with sepsis and acute kidney injury, who survived without any functional deficits by timely resuscitation and a multidisciplinary approach.