RT Journal Article SR Electronic T1 Symptomatic hyperlactatemia in an HIV-positive patient: a case report and discussion JF Canadian Medical Association Journal JO CMAJ FD Canadian Medical Association SP 195 OP 198 VO 168 IS 2 A1 Tony Antoniou A1 Thea Weisdorf A1 Kevin Gough YR 2003 UL http://www.cmaj.ca/content/168/2/195.abstract AB PROLONGED EXPOSURE TO HIGHLY ACTIVE antiretroviral therapy may be associated with adverse effects related to mitochondrial toxicity, such as hyperlactatemia. We describe a case of symptomatic hyperlactatemia in an HIV-positive patient to illustrate the subtle clinical symptoms and abnormal laboratory test results associated with this condition. We also review the pathophysiology, prevalence, spectrum and management of disturbances in lactate homeostasis induced by nucleoside reverse transcriptase inhibitors.