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.
- acetoacetic acid
- alcoholic ketoacidosis
- β-hydroxybutyrate acid
- nicotinamide adenine dinucleotide
- reduced form of NAD