Euglycemic Diabetic Ketoacidosis With Acute Renal Failure: A Challenging Case for Clinicians

被引：0

作者：

Rizwanullah ^{[1
]}

Ahmadi, Tahera ^{[2
]}

Ahmad, Aftab ^{[3
]}

Khan, Waqar ^{[1
]}

Rosario-Curcio, Jose C. ^{[4
]}

机构：

[1] Hayatabad Med Complex Peshawar, Internal Med, Peshawar, Pakistan

[2] Sehat Hosp, Gen Practice, Herat, Afghanistan

[3] Cork Univ Hosp, Gen Med, Cork, Ireland

[4] Univ Med & Hlth Sci, Med Sch, San Juan, PR USA

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2024年 / 16卷 / 05期

关键词：

oral antidiabetic drugs; fasting ramadan; fasting; challenging case; serum ketones; metabolic acidosis; urinary tract infection; acute renal failure; euglycemic diabetic ketoacidosis; diabetic ketoacidosis;

D O I：

10.7759/cureus.60171

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Diabetic ketoacidosis (DKA) is a severe complication of diabetes mellitus characterized by hyperglycemia, metabolic acidosis, and ketosis. We present a challenging case of euglycemic DKA secondary to fasting and urinary tract infection with acute renal failure in a 50 -year -old woman. Despite normal random blood sugar levels, the patient exhibited clinical signs of DKA, leading to further investigation. High anion gap metabolic acidosis with hyperkalemia and abnormal renal function tests were identified. After hemodialysis, serum ketones were found to be highly positive, confirming the diagnosis. Prompt management led to a complete clinical and laboratory resolution. This case underscores the importance of considering DKA in patients with suggestive symptoms, even with normal blood sugar levels.

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