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A case of bovine ketoacidosis in a lactating woman

A 36 year-old 5 weeks postpartum lactating woman presented to the emergency room with severe nausea and vomiting for 48 hours. The patient was found to be in non-diabetic ketoacidosis with a serum pH 6.9 and a HCO(3) of <5mEq/L. This condition rapidly improved with the administration of intraveno...

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Detalles Bibliográficos
Autores principales: Sandhu, Harminder S., Michelis, Michael F., DeVita, Maria V.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4421247/
https://www.ncbi.nlm.nih.gov/pubmed/25984014
http://dx.doi.org/10.1093/ndtplus/sfp052
Descripción
Sumario:A 36 year-old 5 weeks postpartum lactating woman presented to the emergency room with severe nausea and vomiting for 48 hours. The patient was found to be in non-diabetic ketoacidosis with a serum pH 6.9 and a HCO(3) of <5mEq/L. This condition rapidly improved with the administration of intravenous dextrose and bicarbonate and with the cessation of breast feeding. The course and pathophysiology of the rarely described phenomenon of bovine ketosis in a human is discussed here.