Journals / Eurasian Journal of Emergency Medicine / 2018 / Cilt: 17 - Sayı: 1

Ketoacidosis due to Starvation

Pages
39–40
Publication Date
2022-10-11
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Emergency physicians should be aware of the complications of starvation and should immediately start the appropriate treatment.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Poor dietary intake, prolonged fasting, malnutrition, alcoholism, and protein-based diets may induce ketoacidosis without diabetes mellitus.
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Key Findings & Data:A 38-year-old female was admitted to our emergency department because of chest and back pain.
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Conclusion & Impact:Emergency physicians should be aware of the complications of starvation and should immediately start the appropriate treatment.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

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.

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Cite This Article

AKSU, N. M., AKCORA, Z., BAYAR, Ö., AKKAŞ, M. (2022). Ketoacidosis due to Starvation. Eurasian Journal of Emergency Medicine, Cilt: 17 - Sayı: 1, 39–40. https://ajindex.com/articles/508055

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References (6)

  1. Cartwright MM, Hajja W, Al-Khatib S, Hazeghazam M, Sreedhar D, Na Li E, et al. Toxigenic and metabolic causes of ketosis and ketoacidotic syn-dromes. Crit Care Clin. 2012; 28: 601-31.
  2. Kitabchi AE, Umpierrez GE, Miles JM, Fisher JN. Hyperglycemic crises in adult patients with diabetes. Diabetes Care. 2009; 32: 1335-43.
  3. Lulsegged A, Saeed E, Langford E, Duffield C, El-Hasani S, Pareek N. Star-vation Ketoacidosis in a patient with gastric banding. Clin Med (Lond). 2011; 11: 73-5. Wheless J. The history of the ketogenic diet. Epilepsia. 2008; 49: 3-5. [CrossRef] Gasior M, Rogawski MQA, Hartman AL. Neuroprotective and disease mod-ifying effects of the ketogenic diet. Behav Pharmacol. 2006; 17: 431-9. Henderson ST. Ketone bodies as a therapeutic for Alzheimer’s disease. Neurotherapeutics. 2008; 5: 470-80.
  4. Chen TY, Smith W, Rosenstock JL, Lessnau KD. A life threatening compli-cation of Atkins diet. Lancet. 2006; 367: 958. Freeman FT, Willis B, Krywko DM. Acute intractable vomiting and severe Ketoacidosis secondary to the Dukan diet. J Emerg Med. 2014; 47: 109-12.
  5. Nakamura K, Inokuchi R, Doi K, Fukuda T, Tokunaga K, Nakajima S, et al. Septic Ketoacidosis. Intern Med. 2014; 53: 1071-3.
  6. Geijer L, Elelund M. Ketoacidosis associated with low carbohydrate diet in a non-diabetic lactating woman: a case report. J Med Case Rep. 2015; 9: 224. Espes D, Engström J, Reinius H, Carlsson P. Severe diabetic Ketoacidosis in combination with starvation and anoreia nervosa at onset type 1 dia-betes: A case report. Ups J Med Sci. 2013; 118: 130-3.