Version 1
: Received: 6 December 2023 / Approved: 7 December 2023 / Online: 7 December 2023 (06:35:52 CET)
Version 2
: Received: 7 December 2023 / Approved: 12 December 2023 / Online: 13 December 2023 (03:15:38 CET)
Roy, N., & Roy, I. (2023). Successfully managed alcoholic ketoacidosis with sepsis leading to multiple organ dysfunction syndrome: a case report. *Folia Medica*, *66*, e114010.
Roy, N., & Roy, I. (2023). Successfully managed alcoholic ketoacidosis with sepsis leading to multiple organ dysfunction syndrome: a case report. *Folia Medica*, *66*, e114010.
Roy, N., & Roy, I. (2023). Successfully managed alcoholic ketoacidosis with sepsis leading to multiple organ dysfunction syndrome: a case report. *Folia Medica*, *66*, e114010.
Roy, N., & Roy, I. (2023). Successfully managed alcoholic ketoacidosis with sepsis leading to multiple organ dysfunction syndrome: a case report. *Folia Medica*, *66*, e114010.
Abstract
We present the case of a 28-year-old male with a history of alcohol dependency and smoking, who presented with chest pain, shortness of breath, and altered sensorium. He exhibited severe metabolic acidosis, low platelet count, and acute kidney injury. Alcoholic ketoacidosis (AKA) was suspected due to ketonuria, metabolic acidosis, and ketonemia, compounded by electrolyte abnormalities and radiographic findings of pneumonia.Prompt intervention included electrolyte correction, thiamine supplementation, broad-spectrum antibiotics, and diuretics. Thiamine played a pivotal role in the patient's recovery, with significant improvement in consciousness observed within a day. After six days, the patient was discharged in stable condition, showing normal renal and hepatic function during follow-up.This case emphasizes the need for early recognition and comprehensive management in AKA, highlighting
Keywords
alcoholic ketoacidosis; sepsis; multiple organ dysfunction syndrome; thiamine; metabolic acidosis
Subject
Medicine and Pharmacology, Endocrinology and Metabolism
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
