What question did this study set out to answer?

The aim is to highlight the unusual presentation of alcoholic ketoacidosis characterized by metabolic acidosis with hyperkalemia in normoglycemic patients.

June 11, 2026CureusOpen Access

Normoglycemic High Anion Gap Metabolic Acidosis With Hyperkalemia: An Unusual Presentation of Alcoholic Ketoacidosis

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Authors

AMArmaan MishraSriram Chandra Bhanja Medical College Hospital MSMohammad Shagil LSLakhan Singh

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Implication

Randomized trial reports unusual cases of alcoholic ketoacidosis in normoglycemic individuals, suggesting important diagnostic implications.

Key Points

The aim is to highlight the unusual presentation of alcoholic ketoacidosis characterized by metabolic acidosis with hyperkalemia in normoglycemic patients.
Case presentation of a man in his fifties with altered mental status and shortness of breath.
Arterial blood gas analysis showing metabolic acidosis with specific lab findings including severe acidosis and elevated potassium levels.
Prompt intervention with fluid resuscitation and electrolyte correction.
The patient demonstrated severe metabolic acidosis with pH 7.22 and bicarbonate level of 4.2 mmol/L.
Serum potassium was elevated at 5.8 mEq/L, indicating significant hyperkalemia alongside the metabolic acidosis.
Following treatment, the patient improved clinically and was discharged without complications.

Cite This Study

Mishra et al. (2026) studied this question.

synapsesocial.com/papers/6a2a4ff180c8f91e7f39cb23 https://doi.org/10.7759/cureus.110494

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Implication

Randomized trial reports unusual cases of alcoholic ketoacidosis in normoglycemic individuals, suggesting important diagnostic implications.

Normoglycemic High Anion Gap Metabolic Acidosis With Hyperkalemia: An Unusual Presentation of Alcoholic Ketoacidosis

Discussion

Member takes

Implication

Key Points

Cite This Study

Normoglycemic High Anion Gap Metabolic Acidosis With Hyperkalemia: An Unusual Presentation of Alcoholic Ketoacidosis

Discussion

Member takes

Implication

Key Points

Cite This Study

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