SciELO - Scientific Electronic Library Online

 
vol.27 issue3 author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Article

Indicators

Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google

Share


Nutrición Hospitalaria

Print version ISSN 0212-1611

Abstract

FERNANDEZ LOPEZ, M.ª T. et al. Alcoholic ketoacidosis and reversible neurological complications due to hypophosphataemia. Nutr. Hosp. [online]. 2012, vol.27, n.3, pp.936-939. ISSN 0212-1611.  http://dx.doi.org/10.3305/nh.2012.27.3.5692.

A 57-year-old man with chronic alcoholism was admitted to our hospital due to disturbance of consciousness and polyradiculitis. Laboratory examination revealed metabolic acidosis, hypokalemia and hypophosphataemia. Alcoholic ketoacidosis is a common disorder in alcoholic patients. All patients present with a history of heavy alcohol misuse, preceding a bout of particularly excesive intake, which had been terminated by nausea, vomiting and abdominal pain. The most important laboratory results are: normal or low glucose level, metabolic acidosis with a raised anion GAP, low or absent blood alcohol level and urinary ketones. The greatest threats to patients are: hypovolemia, hypokaliemia, hypoglucemia and acidosis. Alcohol abuse may result in a wide range of electrolyte and acid-base disorders including hypophosphataemia, hypomagnesemia, hypocalcemia, hypokalemia, metabolic acidosis and respiratory alkalosis. Disturbance of consciousness in alcoholic patients is observed in several disorders, such drunkenness, Wernicke encephalopathy, alcohol withdrawal syndrome, central pontine myelinolysis, hepatic encephalopathy, hypoglucemia and electrolyte disorders.

Keywords : Alcoholic ketoacidosis; Hypophosphataemia; Polyradiculitis.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )