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Euglycemic Ketosis During Continuous Kidney Replacement Therapy With... » Isaúde
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American Journal of Kidney Diseases
2020-12-02 00:00:00

Euglycemic Ketosis During Continuous Kidney Replacement Therapy With Glucose-Free Solution: A Report of 8 Cases

Description: We report a series of 8 patients with critical illness and diabetes mellitus who developed euglycemic ketosis during continuous kidney replacement therapy (CKRT) with a glucose-free CKRT solution. Two patients had chronic kidney disease stage 5, while the rest had acute kidney injury. The patients had improvement in all metabolic parameters following CKRT commencement, except for a worsening high anion gap metabolic acidosis, in spite of improvement in serum lactate. This led to detection of raised serum beta-hydroxybutyrate in the setting of normoglycemia.

Identifier: 10.1053/j.ajkd.2020.10.014
Section: Case Reports
Volume: 0
Author: Seth Ting, Horng-Ruey Chua, Matthew Edward Cove

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