1例2型糖尿病正糖酮症酸中毒病因不明。

IF 0.5 Q3 MEDICINE, GENERAL & INTERNAL

Oxford Medical Case Reports Pub Date : 2025-06-27 eCollection Date: 2025-06-01 DOI:10.1093/omcr/omaf057

Katrina J Villegas, Laura Guerrero, Hala Moussa, Islam Rajab, Abraam Rezkalla, Dhruv Patel, Mohammed A Qarqash

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引用次数: 0

摘要

糖尿病酮症酸中毒是一种罕见的DKA形式，其特征是严重的酮症和代谢性酸中毒，没有明显的高血糖。我们报告一位45岁的女性胰岛素依赖型糖尿病和慢性肾脏疾病，最初表现为急性心力衰竭，后来发展为血糖正常的DKA。尽管血糖水平接近正常，但高阴离子间隙代谢性酸中毒与显著酮突出了这一危机。治疗包括液体、葡萄糖胰岛素和强化监测。该病例强调了早期识别血糖正常的DKA的必要性，特别是在复杂的患者中，以改善预后。

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Euglycemic diabetic ketoacidosis of unknown Etiology in a type 2 diabetic patient.

Euglycemic diabetic ketoacidosis is a rare form of DKA characterized by severe ketosis and metabolic acidosis without marked hyperglycemia. We report a 45-year-old female with insulin-dependent diabetes and chronic kidney disease, initially presenting with acute heart failure, who later developed euglycemic DKA. Despite near-normal glucose levels, high anion gap metabolic acidosis with significant ketones highlighted this crisis. Treatment included fluids, insulin with dextrose, and intensive monitoring. This case underscores the need for early recognition of euglycemic DKA, especially in complex patients, to improve outcomes.

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来源期刊

Oxford Medical Case Reports MEDICINE, GENERAL & INTERNAL-

CiteScore

0.90

自引率

0.00%

发文量

125

审稿时长

19 weeks

期刊介绍： Oxford Medical Case Reports (OMCR) is an open access, peer-reviewed online journal publishing original and educationally valuable case reports that expand the field of medicine. The journal covers all medical specialities including cardiology, rheumatology, nephrology, oncology, neurology, and reproduction, comprising a comprehensive resource for physicians in all fields and at all stages of training. Oxford Medical Case Reports deposits all articles in PubMed Central (PMC). Physicians and researchers can find your work through PubMed , helping you reach the widest possible audience. The journal is also indexed in the Web of Science Core Collection . Oxford Medical Case Reports publishes case reports under the following categories: Allergy Audiovestibular medicine Cardiology and cardiovascular systems Critical care medicine Dermatology Emergency medicine Endocrinology and metabolism Gastroenterology and hepatology Geriatrics and gerontology Haematology Immunology Infectious diseases and tropical medicine Medical disorders in pregnancy Medical ophthalmology Nephrology Neurology Oncology Paediatrics Pain Palliative medicine Pharmacology and pharmacy Psychiatry Radiology, nuclear medicine, and medical imaging Respiratory disorders Rheumatology Sexual and reproductive health Sports Medicine Substance abuse.