Skip to content
Research Article Open access CC BY 4.0

Topic- Euglycemic Diabetic Ketoacidosis in a Patient of Type 2 DM on Alternative Medicine Precipitated by Dengue Infection

Chandan Kumar, Mohit Gupta, Ujjwal Kumar, Anil Kumar Kem

Asian Journal of Research and Reports in Endocrinology · pp. 1–4 · Published 22 Mar 2019

10.9734/ajrre/2019/v2i11

Abstract

Aim: Diabetic ketoacidosis (DKA) is an acute complication of diabetes mellitus (DM) that can become life-threatening. DKA is recognized by hyperglycemia, metabolic acidosis and presence of serum and/or urine ketones. DKA can occur in the setting of normal glucose concentrations. This uncommon form of DKA is known as euglycemic DKA. The aim of this case report is to alert the physician to include euglycemic DKA in differential diagnosis for a patient presenting with dengue fever and metabolic ketoacidosis with a past history of diabetes on alternative medicine therapy. Presentation of Case: A 70-year-old female presented to us with high grade (102 deg F), intermittent type fever for 3 days. She also reported nausea, vomiting and bilateral knee joint pain. She reported having diabetes for the last 10 years for treatment of which she was on alternative therapy medication. Laboratory workup showed dengue fever, severe metabolic acidosis and 3+ ketonuria. RBS was 186 mg/dl. She was treated with IV fluids for hydration, paracetamol (antipyretics), regular insulin and dextrose drip. Her health improved with the above-mentioned treatment. Discussion: Euglycemic DKA is defined as DKA with BG concentration of <200 mg/d. DKA can go undiagnosed if the patient has blood sugar levels of <200 mg/dl at the time of initial presentation. Moreover, DKA occurs rarely in a patient presenting with dengue fever. Conclusion: Euglycemic DKA is a rare presntation of DKA and thus can go undiagnosed at initial presentation. It may be seen in patients with diabetes (on alternative therapy medications) presenting with dengue fever.

Diabetic ketoacidosis euglycemic dengue alternative medicine.

References (18)

  1. 1 Diabetes mellitus and electrolyte disorders [DOI]
  2. 2 Euglycaemic Diabetic Ketoacidosis [DOI]
  3. 3 Euglycemic diabetic ketoacidosis induced by SGLT2 inhibitors: possible mechanism and contributing factors [DOI]
  4. 4 Alternative therapies useful in the management of diabetes: A systematic review [DOI]
  5. 5 Management of adult diabetic ketoacidosis [DOI]
  6. 6 Case of ketoacidosis by a sodium‐glucose cotransporter 2 inhibitor in a diabetic patient with a low‐carbohydrate diet [DOI]
  7. 7 Euglycaemic diabetic ketoacidosis: does it exist? [DOI]
  8. 8 Starvation-induced True Diabetic Euglycemic Ketoacidosis in Severe Depression [DOI]
  9. 9 Selected Vitamins and Minerals in Diabetes [DOI]
  10. 10 Effect of Momordica charantia on Blood Glucose Level of Normal and Alloxan-Diabetic Rabbits [DOI]
  11. 11 Select Vitamins and Minerals in the Management of Diabetes [DOI]
  12. 12 Mechanism of action of a hypoglycemic principle isolated from fenugreek seeds.
  13. 13 Euglycemic diabetic ketoacidosis, a misleading presentation of diabetic ketoacidosis [DOI]
  14. 14 Is Massage Useful in the Management of Diabetes? A Systematic Review [DOI]
  15. 15 A review of treatment of diabetes by acupuncture during the past forty years.
  16. 16 Euglycemic Diabetic Ketoacidosis with Acute Pancreatitis in a Patient Not Known to Have Diabetes [DOI]
  17. 17 Atypical Diabetic Ketoacidosis: Case Report [DOI]
  18. 18 Euglycaemic diabetic ketoacidosis [DOI]

Cited by 0

No indexed citations yet.

Related research

Article metrics

Real usage data collected on this platform.

28

Page views

0

PDF downloads

4

Outbound clicks

0

Citations

Views over time

Views by country

Approximate, from request IP at view time — not citizenship or institution. Countries with fewer than 5 views are grouped as "Other".

Traffic sources

Referring site, by host.

Views and downloads exclude known bots/crawlers. Citations combines this platform's own DOI-resolved index with each external source's own reported total — see Cited by above for individually listed citing works. Last refreshed 0 seconds ago.