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Euglycemic Ketoacidosis in a Patient with Prolonged Malnutrition Syndrome

Year: 2025

Type: article

Abstract: We present the case of a 53-year-old woman admitted to the emergency department for vomiting and abdominal pain, ultimately diagnosed with euglycemic ketoacidosis. The patient had a history of severe malnutrition associated with depressive disorder, with almost exclusive fruit intake for at least 2 months. Evaluation revealed high anion gap metabolic acidosis, significant ketonemia, but normal blood glucose levels. Exogenous intoxication and diabetes mellitus were excluded. Fluid resuscitation and bicarbonate led to clinical and laboratory improvement. This case highlights the importance of considering malnutrition as a cause of ketosis and metabolic acidosis.

Source: Zenodo (CERN European Organization for Nuclear Research)

DOI: 10.5281/zenodo.17447596

Authors: Veiga, Luís, Campos, Anita, Martins, Maria Eduarda, Burmester, Inês

Institution: Unidade Local de Saúde da Póvoa de Varzim/Vila do Conde

Language: English

Topic: Renal function and acid-base balance

Subfield: Nephrology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

OpenAlex ID: W7101661139

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