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Related Experiment Videos

Alcoholic ketoacidosis: a case report.

A J McMahon1, S T Green, M Sandler

  • 1University of Glasgow, Department of Materia Medica, Stobhill General Hospital.

Scottish Medical Journal
|December 1, 1987
PubMed
Summary

This case report details a 43-year-old experiencing severe alcoholic ketoacidosis. Prompt treatment with intravenous dextrose rapidly resolved the condition, highlighting its treatability.

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Area of Science:

  • Internal Medicine
  • Toxicology
  • Metabolic Disorders

Background:

  • Alcoholic ketoacidosis is a metabolic complication of chronic alcohol abuse.
  • It is characterized by metabolic acidosis, ketosis, and hyperglycemia or hypoglycemia.
  • Often presents after a period of heavy alcohol intake and poor nutrition.

Observation:

  • A 43-year-old male with a history of alcoholism presented in a coma.
  • Symptoms included nausea and malaise, following three weeks of excessive alcohol consumption and inadequate food intake.
  • The patient was found to have ketoacidosis.

Findings:

  • The patient's ketoacidosis responded swiftly to intravenous dextrose administration.
  • This case represents the first reported instance of alcoholic ketoacidosis in Scotland.

Implications:

  • Highlights the importance of recognizing alcoholic ketoacidosis in patients with alcohol use disorder presenting with metabolic acidosis.
  • Emphasizes the effectiveness of dextrose therapy in managing this condition.
  • Contributes to the medical literature on alcoholic ketoacidosis, particularly within the Scottish context.

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