Case Report

Euglycemic Diabetic Ketoacidosis in a Patient with Cocaine Intoxication

Table 1

Basic metabolic panel, beta-hydroxybutyrate, and serum pH from time of admission to closure of anion gap.

AdmissionSix hours apartFour hours apartFour hours apartFour hours apartFour hours apart

Sodium137 mEq/L139 mEq/L139 mEq/L138 mEq/L138 mEq/L137 mEq/L
Potassium4.4 mEq/L4.8 mEq/L4.3 mEq/L4.1 mEq/L3.9 mEq/L4.2 mEq/L
Chloride82 mEq/L102 mEq/L103 mEq/L105 mEq/L107 mEq/L107 mEq/L
Bicarbonate<10 mEq/L<10 mEq/L10 mEq/L15 mEq/L21 mEq/L22 mEq/L
Blood urea nitrogen32 mg/dL25 mg/dL22 mg/dL19 mg/dL15 mg/dL14 mg/dL
Creatinine2.84 mg/dL1.82 mg/dL1.69 mg/dL1.66 mg/dL1.20 mg/dL1.06 mg/dL
Glucose172 mg/dL251 mg/dL180 mg/dL198 mg/dL166 mg/dL95 mg/dL
Anion gap46282618108
B-Hydroxybutyrate15.95 mmol/L4.51 mmol/L0.05 mmol/L
pH7.027.137.267.347.367.38