Schwartau M, Doehn M, Bause H
Klin Wochenschr. 1981 Nov 16;59(22):1267-70. doi: 10.1007/BF01747759.
This is report of a patient receiving preoperatively parenteral nutrition free of vitamin B1. Intraoperatively a severe lactate acidosis developed. This specific metabolic disorder was normalized only by adequate vitamin B1 substitution. Therefore one has to consider vitamin B1 deficiency as another cause of metabolic acidosis.