Ethanol, sugar, acid and coma

Ethanol, sugar, acid and coma

We report on a 46-year-old female patient with chronic alcoholism, who presented with a severe metabolic acidosis and an increased anion gap despite repeated vomiting. In face of a dramatically increased serum-beta-hydroxybutyrate and after ruling out more common causes of acidosis, we were able to...

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Veröffentlicht in:Praxis (Bern. 1994) 2011-06, Vol.100 (13), p.797-799
Hauptverfasser: Meier, H, Gschwend, S, Raimondi, S, Giambarba, C
Format: Artikel
Sprache:ger
Schlagworte:
3-Hydroxybutyric Acid - blood
Acid-Base Equilibrium
Acidosis - diagnosis
Acidosis - therapy
Alcohol-Related Disorders - diagnosis
Alcohol-Related Disorders - therapy
Blood Glucose - metabolism
Diagnosis, Differential
Female
Humans
Ketosis - diagnosis
Ketosis - therapy
Middle Aged
Vomiting - complications
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Zusammenfassung:We report on a 46-year-old female patient with chronic alcoholism, who presented with a severe metabolic acidosis and an increased anion gap despite repeated vomiting. In face of a dramatically increased serum-beta-hydroxybutyrate and after ruling out more common causes of acidosis, we were able to diagnose an alcoholic ketoacidosis. The epidemiology, pathophysiology, clinics and treatment of this often forgotten and misunderstood disorder of acid-base balance are discussed.
ISSN:1661-8157
DOI:10.1024/1661-8157/a000577