J Korean Diabetes.  2011 Dec;12(4):245-247. 10.4093/jkd.2011.12.4.245.

A Case of Acetone Intoxication Misdiagnosed as Diabetic Ketoacidosis

• Kim NY
• Jo IH
• Chang SS
• Jang EH
• Kim MK
• Baek KH
• Song KH
• Lee KW
• Kwon HS

• KMID: 2059859
• DOI: http://doi.org/10.4093/jkd.2011.12.4.245

Abstract

Diabetic ketoacidosis (DKA) is one of the most serious acute metabolic complications of diabetes. The triad of uncontrolled hyperglycemia, metabolic acidosis, and increased total body ketone concentration characterizes DKA. Not all patients with ketoacidosis have DKA, and other situations can result in metabolic acidosis and ketonemia, like starvation ketosis, alcoholic ketoacidosis or ingestion of drugs such as salicylate, methanol, ethylene glycol. We report a case of acetone intoxication that was misdiagnosed as diabetic ketoacidosis.

Keyword

Diabetic ketoacidosis; Acetone intoxication; Acidosis

MeSH Terms

Acetone
Acidosis
Alcoholics
Diabetic Ketoacidosis
Eating
Ethylene Glycol
Ethylenes
Humans
Hyperglycemia
Ketosis
Methanol
Starvation
Acetone
Ethylene Glycol
Ethylenes
Methanol

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