01240nam a2200253   4500001000800000005001700008007000300025008004100028040000800069041000800077100003200085245008500117300002300202520048000225650002400705650001600729650003100745650001700776650001800793700002600811700002200837700002400859773010300883ESSALUD20260817165731.0ta      t        pe ||||| |||| 00| 0 spa d  aBMG  aeng  aCranmer, Hilarie H. eAutor  aCase 23-2026: A 28-year-old woman with nausea, dizziness, and metabolic acidosis  apáginas: 695-703  aThe patient had been in her usual state of generally good health until the night before this presentation, when epigastric pain and vomiting developed abruptly after the consumption of spicy food. Her partner had consumed the same food but did not have similar symptoms. The patient had persistent vomiting and lightheadedness and was unable to maintain adequate hydration; subsequently, she presented to the emergency department of this hospital, accompanied by her partner.  aMEDICINA CLÍNICA   aDEPRESIÓN  aTERAPIA DE RREMPLAZO RENAL  aNEFROLOGÍA  aTOXICOLOGÍA  aErickson,  Timothy B.  aBeach, Scott R.    aWulczyn, Kendra E. 0 022717dMassachusetts NEJM GroupoNEJM010tThe New England Journal of Medicine wESSALUDx0028-4793