Euglycemic Diabetic Ketoacidosis in a Patient Post Cardiac Surgery Receiving Continuous Renal-Replacement Therapy
Euglycemic diabetic ketoacidosis is an often-underrecognized endocrine emergency. We highlight an unusual presentation of euglycemic diabetic ketoacidosis in a patient with a history of hypertension, type 2 diabetes mellitus, and stage 3b chronic kidney disease who had elective aortic and mitral val...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
American College of Physicians
2023-10-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2023.0663 |
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| Summary: | Euglycemic diabetic ketoacidosis is an often-underrecognized endocrine emergency. We highlight an unusual presentation of euglycemic diabetic ketoacidosis in a patient with a history of hypertension, type 2 diabetes mellitus, and stage 3b chronic kidney disease who had elective aortic and mitral valve–replacement surgery. She developed acute kidney injury requiring temporary continuous renal-replacement therapy. Despite hemodialysis, the patient had persistent anion-gap metabolic acidosis. Additional evaluation resulted in the diagnosis of euglycemic diabetic ketoacidosis. Successful care in this patient population entails a high index of suspicion, early diagnosis, and appropriate management. |
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| ISSN: | 2767-7664 |