Lactation Ketoacidosis: A case series
Journal Title: Sultan Qaboos University Medical Journal - Year 2019, Vol 19, Issue 4
Abstract
Lactation ketoacidosis is an extremely rare type of high anion gap metabolic acidosis. We report two lactating women who were diagnosed with lactation ketoacidosis. The first patient presented to the Emergency Department at Royal Darwin Hospital, Darwin, Australia, in 2018 with lethargy, nausea and abdominal pain after she commenced a new diet regimen based on three meals of protein per day and free of glucose, gluten and dairy products. The second patient presented to the Emergency Department at Sultan Qaboos University Hospital, Muscat, Oman, in 2018 with headache, severe malaise, epigastric pain and worsening of gastroesophageal symptoms. Blood investigation results showed that both patients had high anion gap metabolic acidosis, ketosis and hypoglycaemia. The patients responded well to intravenous dextrose and resumption of a balanced diet. Both patients were able to continue breastfeeding and remained well on follow-up.
Authors and Affiliations
Abdullah M. Al Alawi, Usama Al Amri, Henrik Falhammar
Keywords
Related Articles
- EP ID EP675786
- DOI http://dx.doi.org/10.18295/squmj.2019.19.04.012
- Views 254
- Downloads 0
An Unnoticed Broken Sheathed Metallic Stylet in an Endotracheal Tube A case report
We report a 58-years old patient, who underwent surgery for a fracture to the neck of the femur. Tracheal intubation was performed with the aid of a stylet; however, 15 minutes later, it was brought to the notice of th...
University of the twentyfirst century: Opportunities and challenges for medical education
March 2001 saw an important conference being held in Muscat, heralding signifi cant changes in higher education in Oman and in the Arabian Gulf region in general. With the theme The University of the 21st Century, the Co...
The Role of Vitamin E in Human Health and Some Diseases
Vitamin E is the major lipid-soluble component in the cell antioxidant defence system and is exclusively obtained from the diet. It has numerous important roles within the body because of its antioxidant activity. Oxid...
The Higher Cross-over Rate from Transradial to Transfemoral Coronary Angiography Do we have the explanation?
‘Flying Coffins’ and Neglected Neuropsychiatric Syndromes in Oman
IMPROVING HEALTH SERVICES TO TRAUMATIC brain injury (TBI) patients and their families is paramount for the social and economical future of any country. The consequences of TBI are varied, but nevertheless devastating, b...