title: [A fatal course of alcohol-induced ketoacidosis].
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.
authors.affiliation: Medizinische Universitätsklinik Würzburg.
authors.forename: W
authors.initials: W
authors.lastname: Habscheid
authors.forename: E
authors.initials: E
authors.lastname: Heidbreder
mesh_terms: D000138:Acidosis / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D000437:Alcoholism / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D003128:Coma / Q000175:diagnosis / Q000209:etiology / Q000473:pathology; D006801:Humans; D007662:Ketosis / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000473:pathology
vernacular_title: Letaler Verlauf einer alkoholinduzierten Ketoacidose.