Life-threatening euglycemic ketoacidosis in pregnancy: A case report with narrative review of the literature

Keywords:

Euglycemic ketoacidosis, pregnancy, ketones measurement, COVID-19


Published online: May 17 2024

https://doi.org/10.56126/

A. Deman1, S. Rex1, X. Willaert2, D. Mesotten2, S. Deman3

1 Department of Anesthesiology, University Hospital Leuven, Leuven, Belgium
2 Department of Emergency and Critical Care Medicine, Ziekenhuis Oost- Limburg, Genk, Belgium
3 Department of Emergency Medicine, AZ Herentals, Herentals, Belgium

Abstract

Euglycemic ketoacidosis (EKA) is a serious but infrequent condition in patients with or without diabetes. It usually follows a period of severe vomiting, illness, or starvation. The condition can be difficult to diagnose due to misleading euglycemia and a wide range of possible, nonspecific symptoms. We report a case of a 41 years old pregnant woman, with an hitherto undiagnosed COVID infection, and admitted with EKA. Along with the case presentation, we discuss the pathophysiology, typical risk factors (including pregnancy, infection, low calorie intake), symptoms, diagnosis, treatment and overall management of EKA.

ActaAnaesthBelg-74-s1-Cover

About this issue

Volume 74, supplement 1.

Dec 2023.

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