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  • Title: [A fatal course of alcohol-induced ketoacidosis].
    Author: Habscheid W, Heidbreder E.
    Journal: Dtsch Med Wochenschr; 1988 Dec 23; 113(51-52):2007-9. PubMed ID: 3203620.
    Abstract:
    Several days after not eating anything while drinking heavily a 45-year-old alcoholic developed severe ketoacidosis. He was admitted to hospital in a stable cardiovascular condition, but already in a comatose state with Kussmaul breathing. There was a marked metabolic acidosis (pH 6.8; base deficit -30 mmol/l), the urine was positive for ketone bodies, and serum lactate was 24 mmol/l. There was a marked hypoglycaemia (40 mg/dl). Despite intensive treatment it was not possible to prevent multiple organ failure, of which the patient soon died.
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