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Alcoholic ketoacidosis with multiple complications: a case report
  1. Theodore Ngatchu1,
  2. Arvind Sangwaiya2,
  3. Angela Dabiri1,
  4. Ameet Dhar1,
  5. Ian McNeil1,
  6. J D Arnold1
  1. 1
    Department of Gastroenterology; Ealing Hospital, Southall, London, UK
  2. 2
    Ealing Hospital, Southall, London, UK
  1. Dr Arvind Sangwaiya, Department of Gastroenterology, Ealing Hospital NHS Trust, Uxbridge Road, Southall, London UB1 3HW, UK; asangwaiya{at}yahoo.com

Abstract

Alcoholic ketoacidosis is a poorly diagnosed medical emergency usually identified in chronic alcohol misusers following an abrupt cessation or reduction of alcohol consumption. A high index of suspicion should be maintained by acute physicians as response to treatment is rapid with complete resolution of metabolic derangements. Complications are usually the result of not instituting the correct treatment or not addressing associated conditions. We describe a case of alcoholic ketoacidosis with multiple complications at presentation.

https://doi.org/10.1136/emj.2006.041822

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    Footnotes

    • Competing interests: None declared.

    • Abbreviations:
      AAA
      acetoacetic acid
      AKA
      alcoholic ketoacidosis
      BHBA
      β-hydroxybutyrate acid
      NAD
      nicotinamide adenine dinucleotide
      NADH
      reduced form of NAD