Alcoholic ketoacidosis associated with multiple complications: Report of 3 cases

Masami Tanaka, Yasushi Miyazaki, Shinsuke Ishikawa, Kimihiko Matsuyama

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

We report 3 patients with alcoholic ketoacidosis (AKA). All had a history of excessive intake and abrupt termination of alcohol. They showed tachypnea, tachycardia, abdominal tenderness, and epigastralgia. Metabolic acidosis with an increased anion gap, decreased PaCO2 and ketonemia were present. One patient whose ratio of 3-hydroxybutyric acid to acetoacetic acid was 4.0 was associated with diabetic ketoacidosis. All patients were successfully hydrated with electrolyte, glucose and thiamine. Complications such as liver dysfunction, lactic acidosis, acute pancreatitis, Wernicke's encephalopathy, rhabdomyolysis and heart failure were present. Attention should be paid to multiple complications in the treatment of AKA.

Original languageEnglish
Pages (from-to)955-959
Number of pages5
JournalInternal Medicine
Volume43
Issue number10
DOIs
Publication statusPublished - 2004 Oct 1
Externally publishedYes

Keywords

  • 3-hydroxybutyric acid
  • Anion gap
  • Metabolic acidosis

ASJC Scopus subject areas

  • Internal Medicine

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