metricas
covid
Buscar en
Revista Española de Anestesiología y Reanimación (English Edition)
Toda la web
Inicio Revista Española de Anestesiología y Reanimación (English Edition) Nondiabetic ketoacidosis in a pregnant woman due to acute starvation with concom...
Journal Information
Vol. 65. Issue 7.
Pages 407-412 (August - September 2018)
Share
Share
Download PDF
More article options
Vol. 65. Issue 7.
Pages 407-412 (August - September 2018)
Case report
Nondiabetic ketoacidosis in a pregnant woman due to acute starvation with concomitant influenza A (H1N1) and respiratory failure
Cetoacidosis no diabética en una mujer embarazada, debido a inanición aguda con gripe A (H1N1) concomitante e insuficiencia respiratoria
G. Skalley, S. Rodríguez-Villar
Corresponding author
sancho.rodvil@hotmail.com

Corresponding author.
Critical Care Department, King's College Hospital, London, United Kingdom
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Figures (1)
Tables (2)
Table 1. ICU observation chart.
Table 2. Differential diagnosis of high anion gap metabolic acidosis.
Show moreShow less
Abstract

Threatening refractory metabolic acidosis due to short-term starvation nondiabetic ketoacidosis is rarely reported. Severe ketoacidosis due to starvation itself is a rare occurrence, and more so in pregnancy with a concomitant stressful clinical situation.

This case report presents a nondiabetic woman admitted in intensive care for respiratory failure type 1 during the third trimester of pregnancy with a severe metabolic acidosis refractory to medical treatment.

We diagnosed the patient with acute starvation ketoacidosis based on her history and the absence of other causes of high anion gap metabolic acidosis after doing a rigorous analysis of her acid-base disorder.

Keywords:
Nondiabetic ketoacidosis
Pregnancy
Starvation
Influenza A
Resumen

Raramente se reporta la acidosis metabólica resistente de riesgo debido a cetoacidosis no diabética por inanición a corto plazo. La cetoacidosis grave debida a inanición es una situación infrecuente y lo es más aún durante el embarazo con situación clínica estresante concomitante.

Este informe de un caso presenta a una mujer no diabética ingresada en cuidados intensivos debido a insuficiencia respiratoria tipo 1 durante el tercer trimestre de embarazo, con acidosis metabólica grave resistente a tratamiento médico.

Diagnosticamos a la paciente de cetoacidosis por inanición, basándonos en su historia y la ausencia de otras causas de acidosis metabólica con anión gap elevado, tras la realización de un análisis riguroso de su trastorno ácido-base.

Palabras clave:
Cetoacidosis no diabética
Embarazo
Inanición
Gripe A

Article

These are the options to access the full texts of the publication Revista Española de Anestesiología y Reanimación (English Edition)
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Revista Española de Anestesiología y Reanimación (English Edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail
Article options
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos

Quizás le interese:
10.1016/j.redare.2023.02.001
No mostrar más