Cetoacidosis diabética euglucémica, un diagnóstico difícil de identificar / Euglicemic diabetic ketoacidosis, an easily missed diagnosis
Galicia clin
; 82(1): 36-37, Enero-Febrero-Marzo 2021. tab
Artigo
em Inglês
| IBECS
| ID: ibc-221103
Biblioteca responsável:
ES1.1
Localização: ES15.1 - BNCS
ABSTRACT
Diabetic ketoacidosis is a serious and potentially life-threatening acute complication of diabetes mellitus. SGLT-2 inhibitors are recommended as first-line therapy in patients unable to tolerate metformin or as second-line agents after metformin. Their use is increasing as new data show, besides improving glycemic control, weight loss, blood pressure reduction, and beneficial cardiovascular and reno-protective effects. Euglycemic diabetic ketoacidosis is a rare but potential complication of SGLT-2 inhibitors. Physicians including internists, intensivists and emergency physicians should all be aware as this diagnosis can easily be missed in the absence of evident hyperglycemia. We report a case of 61-year-old male admitted in the emergency room because of altered mental status, associated with holocranial headache. He had medical history of type 2 diabetes and had recently started a SLGT-2 inhibitor. Arterial blood gases showed a severe high anion gap uncompensated metabolic acidosis. Blood and urine ketones were high with normal serum glucose levels. The diagnosis of euglycemic ketoacidosis due to SLGT-2 inhibitor was made. (AU)
Texto completo:
Disponível
Coleções:
Bases de dados nacionais
/
Espanha
Base de dados:
IBECS
Assunto principal:
Cetoacidose Diabética
/
Diabetes Mellitus
/
Diabetes Mellitus Tipo 2
Limite:
Humanos
Idioma:
Inglês
Revista:
Galicia clin
Ano de publicação:
2021
Tipo de documento:
Artigo
Instituição/País de afiliação:
Centro Hospitalar do Médio Tejo/Portugal