Diabetic ketoacidosis as a complication of methanol poisoning; a case report.
BMC Endocr Disord
; 22(1): 148, 2022 Jun 02.
Article
in English
| MEDLINE | ID: covidwho-1902378
ABSTRACT
INTRODUCTION:
Diabetic ketoacidosis (DKA) is a complication of diabetes presenting with high anion gap metabolic acidosis. Methanol poisoning, on the other hand, is a toxicology emergency which presents with the same feature. We present a case of methanol poisoning who presented with DKA. CASE PRESENTATION A 28-year-old male was referred to us with blurred vision and loss of consciousness three days after ingestion of 1.5 L of an unknown mixture of bootleg alcoholic beverage. He had history of insulin-dependent diabetes and had neglected his insulin shots on the day prior to hospital admission due to progressive loss of consciousness. Vital signs were normal and venous blood gas analysis showed severe metabolic acidosis and a methanol level of 10.2 mg/dL. After eight hours of hemodialysis, he remained unresponsive. Diabetic ketoacidosis was suspected due to positive urine ketone and blood sugar of 411 mg/dL. Insulin infusion was initiated which was followed by full awakening and extubation. He was discharged completely symptom-free after 4 weeks.CONCLUSIONS:
Diabetic ketoacidosis and methanol poisoning can happen simultaneously in a diabetic patient. Given the analogous high anion gap metabolic acidosis, physicians should pay particular attention to examination of the diabetic patients. Meticulous evaluation for both conditions is highly recommended.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Acidosis
/
Diabetic Ketoacidosis
/
Diabetes Mellitus
Type of study:
Case report
/
Experimental Studies
/
Prognostic study
Topics:
Long Covid
Limits:
Adult
/
Humans
/
Male
Language:
English
Journal:
BMC Endocr Disord
Year:
2022
Document Type:
Article
Affiliation country:
S12902-022-01037-z
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