Breastfeeding ketoacidosis: A rare but important diagnosis for emergency physicians to recognize.


Journal

The American journal of emergency medicine
ISSN: 1532-8171
Titre abrégé: Am J Emerg Med
Pays: United States
ID NLM: 8309942

Informations de publication

Date de publication:
02 2019
Historique:
received: 01 10 2018
accepted: 10 10 2018
pubmed: 12 11 2018
medline: 23 10 2019
entrez: 12 11 2018
Statut: ppublish

Résumé

We report a case of lactation ketoacidosis in a 22-year-old female who was breastfeeding two infants while dieting. She appeared non-toxic, but had a serum bicarbonate of 7meq/L, a pH of 7.07, and moderate serum ketones. She responded well to simple carbohydrate replenishment and brief cessation of breastfeeding. Emergency Physicians should be aware of this entity so as to avoid unnecessary morbidity and to begin prompt treatment.

Identifiants

pubmed: 30414745
pii: S0735-6757(18)30828-3
doi: 10.1016/j.ajem.2018.10.014
pii:
doi:

Substances chimiques

Dietary Carbohydrates 0

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

374.e1

Informations de copyright

Copyright © 2018 Elsevier Inc. All rights reserved.

Auteurs

Cole Seaton (C)

Texas A&M CHRISTUS Spohn Emergency Medicine Residency Program, 600 Hospital BLVD. Corpus Christi, TX 78404, United States of America.

Kristopher Sutherly (K)

Texas A&M CHRISTUS Spohn Emergency Medicine Residency Program, 600 Hospital BLVD. Corpus Christi, TX 78404, United States of America.

Michael A Miller (MA)

Texas A&M CHRISTUS Spohn Emergency Medicine Residency Program, 600 Hospital BLVD. Corpus Christi, TX 78404, United States of America. Electronic address: Michael.Miller@Christushealth.org.

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Classifications MeSH