Ketoacidosis due to Starvation
Poor dietary intake, prolonged fasting, malnutrition, alcoholism, and protein-based diets may induce ketoacidosis without diabetes mellitus. This is called ”starvation ketoacidosis.” Here we present the case of a patient diagnosed with starvation ketoacidosis. A 38-year-old female was admitted to ou...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Galenos Yayinevi
2018-03-01
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| Series: | Eurasian Journal of Emergency Medicine |
| Subjects: | |
| Online Access: |
http://akademikaciltip.com/archives/archive-detail/article-preview/ketoacidosis-due-to-starvation/21755
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| _version_ | 1797918944747585536 |
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| author | Nalan Metin Aksu Zehra Akcora Bugra Ilhan Ozgur Bayar Meltem Akkas |
| author_facet | Nalan Metin Aksu Zehra Akcora Bugra Ilhan Ozgur Bayar Meltem Akkas |
| author_sort | Nalan Metin Aksu |
| collection | DOAJ |
| description | Poor dietary intake, prolonged fasting, malnutrition, alcoholism, and protein-based diets may induce ketoacidosis without diabetes mellitus. This is called ”starvation ketoacidosis.” Here we present the case of a patient diagnosed with starvation ketoacidosis. A 38-year-old female was admitted to our emergency department because of chest and back pain. Electrocardiography and chest X-ray showed no abnormalities. On taking her past medical history, we learned that she had been diagnosed with anorexia nervosa. Anion gap metabolic acidosis with ketone bodies in urine was detected. A diagnosis of starvation ketoacidosis was considered for the patient, and she was treated with dextrose solution for 15 h, and improved acidosis was observed. To the best of our knowledge, there are few case reports on starvation ketoacidosis. Emergency physicians should be aware of the complications of starvation and should immediately start the appropriate treatment. |
| first_indexed | 2024-04-10T13:37:29Z |
| format | Article |
| id | doaj.art-1e106bded45b47cab863aafbbde89382 |
| institution | Directory Open Access Journal |
| issn | 2149-5807 2149-6048 |
| language | English |
| last_indexed | 2024-04-10T13:37:29Z |
| publishDate | 2018-03-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Eurasian Journal of Emergency Medicine |
| spelling | doaj.art-1e106bded45b47cab863aafbbde893822023-02-15T16:11:19ZengGalenos YayineviEurasian Journal of Emergency Medicine2149-58072149-60482018-03-01171394010.5152/eajem.2017.2959113049054Ketoacidosis due to StarvationNalan Metin Aksu0Zehra Akcora1Bugra Ilhan2Ozgur Bayar3Meltem Akkas4 Department of Emergency Medicine, Hacettepe University School of Medicine, Ankara, Turkey Department of Emergency Medicine, Hacettepe University School of Medicine, Ankara, Turkey Department of Emergency Medicine, Hacettepe University School of Medicine, Ankara, Turkey Department of Emergency Medicine, Hacettepe University School of Medicine, Ankara, Turkey Department of Emergency Medicine, Hacettepe University School of Medicine, Ankara, Turkey Poor dietary intake, prolonged fasting, malnutrition, alcoholism, and protein-based diets may induce ketoacidosis without diabetes mellitus. This is called ”starvation ketoacidosis.” Here we present the case of a patient diagnosed with starvation ketoacidosis. A 38-year-old female was admitted to our emergency department because of chest and back pain. Electrocardiography and chest X-ray showed no abnormalities. On taking her past medical history, we learned that she had been diagnosed with anorexia nervosa. Anion gap metabolic acidosis with ketone bodies in urine was detected. A diagnosis of starvation ketoacidosis was considered for the patient, and she was treated with dextrose solution for 15 h, and improved acidosis was observed. To the best of our knowledge, there are few case reports on starvation ketoacidosis. Emergency physicians should be aware of the complications of starvation and should immediately start the appropriate treatment. http://akademikaciltip.com/archives/archive-detail/article-preview/ketoacidosis-due-to-starvation/21755 Starvation ketoacidosishigh anion gapemergency department |
| spellingShingle | Nalan Metin Aksu Zehra Akcora Bugra Ilhan Ozgur Bayar Meltem Akkas Ketoacidosis due to Starvation Eurasian Journal of Emergency Medicine Starvation ketoacidosis high anion gap emergency department |
| title | Ketoacidosis due to Starvation |
| title_full | Ketoacidosis due to Starvation |
| title_fullStr | Ketoacidosis due to Starvation |
| title_full_unstemmed | Ketoacidosis due to Starvation |
| title_short | Ketoacidosis due to Starvation |
| title_sort | ketoacidosis due to starvation |
| topic | Starvation ketoacidosis high anion gap emergency department |
| url |
http://akademikaciltip.com/archives/archive-detail/article-preview/ketoacidosis-due-to-starvation/21755
|
| work_keys_str_mv | AT nalanmetinaksu ketoacidosisduetostarvation AT zehraakcora ketoacidosisduetostarvation AT bugrailhan ketoacidosisduetostarvation AT ozgurbayar ketoacidosisduetostarvation AT meltemakkas ketoacidosisduetostarvation |