ISSN 2149-5807 | E-ISSN 2149-6048
Case Report
Ketoacidosis due to Starvation
1 Department of Emergency Medicine, Hacettepe University School of Medicine, Ankara, Turkey  
Eurasian J Emerg Med 2018; 17: 39-40
DOI: 10.5152/eajem.2017.29591
Key Words: Starvation ketoacidosis, high anion gap, emergency department


Poor dietary intake, prolonged fasting, malnutrition, alcoholism, and protein-based diets may induce ketoacidosis without diabetes mellitus. This is called ”starvation ketoacidosis.” Here we present the case of a patient diagnosed with starvation ketoacidosis. A 38-year-old female was admitted to our emergency department because of chest and back pain. Electrocardiography and chest X-ray showed no abnormalities. On taking her past medical history, we learned that she had been diagnosed with anorexia nervosa. Anion gap metabolic acidosis with ketone bodies in urine was detected. A diagnosis of starvation ketoacidosis was considered for the patient, and she was treated with dextrose solution for 15 h, and improved acidosis was observed. To the best of our knowledge, there are few case reports on starvation ketoacidosis. Emergency physicians should be aware of the complications of starvation and should immediately start the appropriate treatment.



Cite this article as: Metin Aksu N, Akcora Z, Ilhan B, Bayar O, Akkas M. Ketoacidosis due to Starvation. Eurasian J Emerg Med. 2018; 17: 39-40.


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