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Gary M. Roggin, MD; David Moses, MD; Martin Kautcher, MD; William Wishner, MD; Charles Shuman, MD

JAMA. 1970;211(2):296-298.

Abstract
Diabetic ketosis with clinical signs of acidosis was observed in a patient with known diabetes and tuberculosis. Studies obtained on admission to the hospital led to the diagnosis of metabolic alkalosis. This condition was attributed to prolonged vomiting secondary to antituberculous treatment. Management of the alkalosis with large amounts of fluids containing potassium chloride, and correction of the diabetic hyperketonemia and hyperglycemia with insulin were effective. The determination of blood-gas levels in severely ketotic patients is essential for the detection of these combined metabolic disturbances and, indeed, may be lifesaving.

Author Affiliations
From the Department of Internal Medicine, Temple University School of Medicine, Philadelphia. Dr. Roggin is now with Johns Hopkins University School of Medicine, Baltimore.

Footnotes
Reprint requests to 610 N Broadway, Baltimore 21205 (Dr. Roggin).

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ABSTRACT