• Dtsch. Med. Wochenschr. · Dec 1988

    Case Reports

    [A fatal course of alcohol-induced ketoacidosis].

    • W Habscheid and E Heidbreder.
    • Medizinische Universitätsklinik Würzburg.
    • Dtsch. Med. Wochenschr. 1988 Dec 23;113(51-52):2007-9.

    AbstractSeveral days after not eating anything while drinking heavily a 45-year-old alcoholic developed severe ketoacidosis. He was admitted to hospital in a stable cardiovascular condition, but already in a comatose state with Kussmaul breathing. There was a marked metabolic acidosis (pH 6.8; base deficit -30 mmol/l), the urine was positive for ketone bodies, and serum lactate was 24 mmol/l. There was a marked hypoglycaemia (40 mg/dl). Despite intensive treatment it was not possible to prevent multiple organ failure, of which the patient soon died.

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