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Case Reports
. 2022 Apr 28;14(4):e24560.
doi: 10.7759/cureus.24560. eCollection 2022 Apr.

A Case of Hyperglycemic Ketoacidosis in a Patient Without Diabetes

Nay Linn Aung  1 , Vishal Vakani  2 , Mario Wassel  3
Affiliations
Case Reports

A Case of Hyperglycemic Ketoacidosis in a Patient Without Diabetes

Nay Linn Aung et al. Cureus. .

Abstract

We present the case of a 70-year-old Caucasian female who presented to the emergency department with acute pancreatitis and ketoacidosis. An extensive workup for ketoacidosis showed that the patient had hyperglycemic ketoacidosis with findings similar to diabetic ketoacidosis (DKA). However, the patient did not have a history of diabetes, and no diagnosis of diabetes could be made on the current admission as well. Ketoacidosis was determined to be induced by acute hyperglycemia secondary to pancreatitis, which suppresses insulin secretion transiently. It is important to note that DKA can be seen in patients with different types of diabetes and is not just limited to type 1 diabetes.

Keywords: diabetes; dka; insulin; ketoacidosis; pancreatitis.

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Conflict of interest statement

The authors have declared that no competing interests exist.

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References

    1. The syndrome of alcoholic ketoacidosis. Wrenn KD, Slovis CM, Minion GE, Rutkowski R. Am J Med. 1991;91:119–128. - PubMed
    1. Ketoacidosis associated with low-carbohydrate diet in a non-diabetic lactating woman: a case report. von Geijer L, Ekelund M. J Med Case Rep. 2015;9:224. - PMC - PubMed
    1. Diabetic ketoacidosis: a common debut of diabetes among African Americans with type 2 diabetes. Vellanki P, Umpierrez GE. Endocr Pract. 2017;23:971–978. - PMC - PubMed
    1. Pancreatic ketoacidosis: ketonemia associated with acute pancreatitis. Kabadi UM. Postgrad Med J. 1995;71:32–35. - PMC - PubMed
    1. Severe euglycemic diabetic ketoacidosis of multifactorial etiology in a type 2 diabetic patient treated with empagliflozin: case report and literature review. Sampani E, Sarafidis P, Dimitriadis C, et al. BMC Nephrol. 2020;21:276. - PMC - PubMed

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