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Alcoholic ketoacidosis with multiple complications: a case report
  1. Theodore Ngatchu1,
  2. Arvind Sangwaiya2,
  3. Angela Dabiri1,
  4. Ameet Dhar1,
  5. Ian McNeil1,
  6. J D Arnold1
  1. 1
    Department of Gastroenterology; Ealing Hospital, Southall, London, UK
  2. 2
    Ealing Hospital, Southall, London, UK
  1. Dr Arvind Sangwaiya, Department of Gastroenterology, Ealing Hospital NHS Trust, Uxbridge Road, Southall, London UB1 3HW, UK; asangwaiya{at}


Alcoholic ketoacidosis is a poorly diagnosed medical emergency usually identified in chronic alcohol misusers following an abrupt cessation or reduction of alcohol consumption. A high index of suspicion should be maintained by acute physicians as response to treatment is rapid with complete resolution of metabolic derangements. Complications are usually the result of not instituting the correct treatment or not addressing associated conditions. We describe a case of alcoholic ketoacidosis with multiple complications at presentation.

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  • Competing interests: None declared.

  • Abbreviations:
    acetoacetic acid
    alcoholic ketoacidosis
    β-hydroxybutyrate acid
    nicotinamide adenine dinucleotide
    reduced form of NAD