title: A case of bovine ketoacidosis in a lactating woman.
abstract: A 36 year-old 5 weeks postpartum lactating woman presented to the emergency room with severe nausea and vomiting for 48 hours. The patient was found to be in non-diabetic ketoacidosis with a serum pH 6.9 and a HCO3 of <5mEq/L. This condition rapidly improved with the administration of intravenous dextrose and bicarbonate and with the cessation of breast feeding. The course and pathophysiology of the rarely described phenomenon of bovine ketosis in a human is discussed here.
authors.affiliation: Department of Nephrology , Lenox Hill Hospital , New York , USA.
authors.forename: Harminder S
authors.initials: HS
authors.lastname: Sandhu
authors.affiliation: Department of Nephrology , Lenox Hill Hospital , New York , USA.
authors.forename: Michael F
authors.initials: MF
authors.lastname: Michelis
authors.affiliation: Department of Nephrology , Lenox Hill Hospital , New York , USA.
authors.forename: Maria V
authors.initials: MV
authors.lastname: DeVita
keywords: acidosis; bovine ketoacidosis; lactation acidosis