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Euglycemic Diabetic Ketoacidosis in a Patient With Urinary Tract Infection

Diabetes Mellitus (DM) is a complex metabolic disease primarily associated with elevated blood glucose levels in the body. Diabetic ketoacidosis (DKA) is the most feared acute presentation of diabetes mellitus (DM) in both type 1 and type 2 diabetes mellitus. Furthermore, euglycemic diabetic ketoaci...

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Autores principales: Patlolla, Sridhar Reddy, Devara, Janaki, Ameer, Muhammad Atif, Patlolla, Prasanthy Reddy, Ponnala, Madhusudhan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10460495/
https://www.ncbi.nlm.nih.gov/pubmed/37641775
http://dx.doi.org/10.7759/cureus.42594
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author Patlolla, Sridhar Reddy
Devara, Janaki
Ameer, Muhammad Atif
Patlolla, Prasanthy Reddy
Ponnala, Madhusudhan
author_facet Patlolla, Sridhar Reddy
Devara, Janaki
Ameer, Muhammad Atif
Patlolla, Prasanthy Reddy
Ponnala, Madhusudhan
author_sort Patlolla, Sridhar Reddy
collection PubMed
description Diabetes Mellitus (DM) is a complex metabolic disease primarily associated with elevated blood glucose levels in the body. Diabetic ketoacidosis (DKA) is the most feared acute presentation of diabetes mellitus (DM) in both type 1 and type 2 diabetes mellitus. Furthermore, euglycemic diabetic ketoacidosis (EDKA) is a relatively rare complication of DM in which the blood glucose levels are usually less than 250 mg/dl with an elevated anion gap metabolic acidosis. It can be a diagnostic challenge due to normal blood glucose levels and often can be overlooked. Physicians should be aware of EDKA; prompt diagnosis and treatment are critical in the timely management of the condition to prevent complications. We present a case of EDKA in a 74-year-old female precipitated by a urinary tract infection which was identified and treated promptly with insulin and dextrose infusion. In addition to that, an important difference between British and American guidelines has been highlighted.
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spelling pubmed-104604952023-08-28 Euglycemic Diabetic Ketoacidosis in a Patient With Urinary Tract Infection Patlolla, Sridhar Reddy Devara, Janaki Ameer, Muhammad Atif Patlolla, Prasanthy Reddy Ponnala, Madhusudhan Cureus Endocrinology/Diabetes/Metabolism Diabetes Mellitus (DM) is a complex metabolic disease primarily associated with elevated blood glucose levels in the body. Diabetic ketoacidosis (DKA) is the most feared acute presentation of diabetes mellitus (DM) in both type 1 and type 2 diabetes mellitus. Furthermore, euglycemic diabetic ketoacidosis (EDKA) is a relatively rare complication of DM in which the blood glucose levels are usually less than 250 mg/dl with an elevated anion gap metabolic acidosis. It can be a diagnostic challenge due to normal blood glucose levels and often can be overlooked. Physicians should be aware of EDKA; prompt diagnosis and treatment are critical in the timely management of the condition to prevent complications. We present a case of EDKA in a 74-year-old female precipitated by a urinary tract infection which was identified and treated promptly with insulin and dextrose infusion. In addition to that, an important difference between British and American guidelines has been highlighted. Cureus 2023-07-28 /pmc/articles/PMC10460495/ /pubmed/37641775 http://dx.doi.org/10.7759/cureus.42594 Text en Copyright © 2023, Patlolla et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Endocrinology/Diabetes/Metabolism
Patlolla, Sridhar Reddy
Devara, Janaki
Ameer, Muhammad Atif
Patlolla, Prasanthy Reddy
Ponnala, Madhusudhan
Euglycemic Diabetic Ketoacidosis in a Patient With Urinary Tract Infection
title Euglycemic Diabetic Ketoacidosis in a Patient With Urinary Tract Infection
title_full Euglycemic Diabetic Ketoacidosis in a Patient With Urinary Tract Infection
title_fullStr Euglycemic Diabetic Ketoacidosis in a Patient With Urinary Tract Infection
title_full_unstemmed Euglycemic Diabetic Ketoacidosis in a Patient With Urinary Tract Infection
title_short Euglycemic Diabetic Ketoacidosis in a Patient With Urinary Tract Infection
title_sort euglycemic diabetic ketoacidosis in a patient with urinary tract infection
topic Endocrinology/Diabetes/Metabolism
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10460495/
https://www.ncbi.nlm.nih.gov/pubmed/37641775
http://dx.doi.org/10.7759/cureus.42594
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