EJMCR |

Case Series

Volume: 7 | Issue: 5 | Published: Aug 01, 2023 | Pages: 110 - 114 | DOI: 10.24911/ejmcr/173-1670397398

A case series of euglycemic starvation ketoacidosis in pregnant women with COVID-19 infection: atypical presentations

Authors: Nida' Ul-Huda Adznan , Carolina Shalini Singarayar , Foo Siew Hui

Article Info

Authors

Nida' Ul-Huda Adznan

Acute Internal Medicine Physician, Medical Department, Selayang Hospital, Ministry of Health, Batu Caves, Malaysia

ORCID

Carolina Shalini Singarayar

Consultant Endocrinologist, Endocrine Unit, Medical Department, Selayang Hospital, Ministry of Health, Batu Caves, Malaysia

ORCID

Foo Siew Hui

Consultant Endocrinologist, Endocrine Unit, Medical Department, Selayang Hospital, Ministry of Health, Batu Caves, Malaysia.

ORCID

Publication History

Received: December 07, 2022

Revised: April 01, 2023

Accepted: April 01, 2023

Published: August 01, 2023

Abstract

Background: We present a case series of euglycemic starvation ketoacidosis in pregnant women with coronavirus disease 2019 (COVID-19) infection. Our patients presented with fever and typical respiratory symptoms secondary to COVID-19 infection in the third trimester. It was complicated by severe metabolic ketoacidosis, likely contributed by the hypermetabolic state of pregnancy, maternal starvation, and increased metabolic demand due to COVID-19 infection. Case Presentation: Among most of the cases, there was a swift resolution of ketoacidosis, through timely fluid resuscitation, dextrose, and insulin. But despite those measures, most of the patients had to undergo emergency cesarean section due to maternal deterioration, preterm delivery, and fetal distress. All the mothers recovered well and were discharged home, but there was one case of neonatal death after preterm delivery. Conclusion: These cases illustrate the importance of early diagnosis of euglycemic ketoacidosis, prompt management, and close monitoring to obviate adverse materno-fetal outcomes in pregnant women with COVID-19 infection.

Keywords: Euglycemic ketoacidosis, starvation ketoacidosis, pregnant, COVID-19, metabolic acidosis, high anion gap, case report, green

Pubmed Style

Nida' Ul-Huda Adznan, Carolina Shalini Singarayar, Foo Siew Hui. A case series of euglycemic starvation ketoacidosis in pregnant women with COVID-19 infection: atypical presentations. EJMCR. 2023; 01 (August 2023): 110-114. doi:10.24911/ejmcr/173-1670397398

Web Style

Nida' Ul-Huda Adznan, Carolina Shalini Singarayar, Foo Siew Hui. A case series of euglycemic starvation ketoacidosis in pregnant women with COVID-19 infection: atypical presentations. https://ejmcr.com/articles/1056 [Access: December 04, 2024]. doi:10.24911/ejmcr/173-1670397398

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Nida' Ul-Huda Adznan, Carolina Shalini Singarayar, Foo Siew Hui. A case series of euglycemic starvation ketoacidosis in pregnant women with COVID-19 infection: atypical presentations. EJMCR. (2023), [cited December 04, 2024]; 01 (August 2023): 110-114. doi:10.24911/ejmcr/173-1670397398

Harvard Style

Nida' Ul-Huda Adznan, Carolina Shalini Singarayar, Foo Siew Hui (2023) A case series of euglycemic starvation ketoacidosis in pregnant women with COVID-19 infection: atypical presentations. EJMCR, 01 (August 2023): 110-114. doi:10.24911/ejmcr/173-1670397398

Chicago Style

Nida' Ul-Huda Adznan, Carolina Shalini Singarayar, Foo Siew Hui. "A case series of euglycemic starvation ketoacidosis in pregnant women with COVID-19 infection: atypical presentations." 01 (2023), 110-114. doi:10.24911/ejmcr/173-1670397398

MLA (The Modern Language Association) Style

Nida' Ul-Huda Adznan, Carolina Shalini Singarayar, Foo Siew Hui. "A case series of euglycemic starvation ketoacidosis in pregnant women with COVID-19 infection: atypical presentations." 01.August 2023 (2023), 110-114. Print. doi:10.24911/ejmcr/173-1670397398

APA (American Psychological Association) Style

Nida' Ul-Huda Adznan, Carolina Shalini Singarayar, Foo Siew Hui (2023) A case series of euglycemic starvation ketoacidosis in pregnant women with COVID-19 infection: atypical presentations. , 01 (August 2023), 110-114. doi:10.24911/ejmcr/173-1670397398