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Nondiabetic ketoacidosis in a pregnant woman due to acute starvation with concomitant influenza A (H1N1) and respiratory failure

tetano

Editor, Senior Moderator
Rev Esp Anestesiol Reanim. 2018 Feb 27. pii: S0034-9356(18)30006-9. doi: 10.1016/j.redar.2018.01.002. [Epub ahead of print]
[h=1]Nondiabetic ketoacidosis in a pregnant woman due to acute starvation with concomitant influenza A (H1N1) and respiratory failure.[/h] [Article in English, Spanish]
Skalley G[SUP]1[/SUP], Rodr?guez-Villar S[SUP]2[/SUP].
[h=3]Author information[/h]

[h=3]Abstract[/h] Threatening refractory metabolic acidosis due to short-term starvation nondiabetic ketoacidosis is rarely reported. Severe ketoacidosis due to starvation itself is a rare occurrence, and more so in pregnancy with a concomitant stressful clinical situation. This case report presents a nondiabetic woman admitted in intensive care for respiratory failure type 1 during the third trimester of pregnancy with a severe metabolic acidosis refractory to medical treatment. We diagnosed the patient with acute starvation ketoacidosis based on her history and the absence of other causes of high anion gap metabolic acidosis after doing a rigorous analysis of her acid-base disorder.


[h=4]KEYWORDS:[/h] Cetoacidosis no diab?tica; Embarazo; Gripe A; Inanici?n; Influenza A; Nondiabetic ketoacidosis; Pregnancy; Starvation

PMID: 29500057 DOI: 10.1016/j.redar.2018.01.002
 
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