Evidence map›Paper›PMID 38872637›Full record

ArticleCureus2024

Euglycemic Diabetic Ketoacidosis With Acute Renal Failure: A Challenging Case for Clinicians.

Rizwanullah, Tahera Ahmadi, Aftab Ahmad, Waqar Khan, Jose C Rosario-Curcio

Abstract readCase Reports
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

RizwanullahInternal Medicine, Hayatabad Medical Complex Peshawar, Peshawar, PAK.
Tahera AhmadiGeneral Practice, Sehat Hospital, Herat, AFG.
Aftab AhmadGeneral Medicine, Cork University Hospital, Cork, IRL.
Waqar KhanInternal Medicine, Hayatabad Medical Complex Peshawar, Peshawar, PAK.
Jose C Rosario-CurcioMedical School, University of Medicine and Health Sciences, San Juan, PRI.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diabetic ketoacidosis (DKA) is a severe complication of diabetes mellitus characterized by hyperglycemia, metabolic acidosis, and ketosis. We present a challenging case of euglycemic DKA secondary to fasting and urinary tract infection with acute renal failure in a 50-year-old woman. Despite normal random blood sugar levels, the patient exhibited clinical signs of DKA, leading to further investigation. High anion gap metabolic acidosis with hyperkalemia and abnormal renal function tests were identified. After hemodialysis, serum ketones were found to be highly positive, confirming the diagnosis. Prompt management led to a complete clinical and laboratory resolution. This case underscores the importance of considering DKA in patients with suggestive symptoms, even with normal blood sugar levels.

Indexed as

acute renal failurechallenging casediabetic ketoacidosiseuglycemic diabetic ketoacidosisfastingfasting ramadanmetabolic acidosisoral antidiabetic drugsserum ketonesurinary tract infection

Identifiers

PMID38872637
PMCPMC11175022

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.