
The patient: A man in his 70s in Japan
The symptoms: The patient was initially brought to the emergency room after he was found collapsed in his home. Tests showed he had severe metabolic acidosis, in which too much acid builds up in the blood. Further labs, as well as CT scans and a review of the patient's medical history, suggested the buildup was caused by a lung infection, kidney injury and, potentially, heavy drinking, as the patient had a history of alcohol dependence.