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Revista chilena de obstetricia y ginecología

Print version ISSN 0048-766XOn-line version ISSN 0717-7526

Abstract

ESPINOSA S., María et al. Euglycaemic ketoacidosis in a pregnant woman with COVID-19 pneumonia. A case report. Rev. chil. obstet. ginecol. [online]. 2020, vol.85, suppl.1, pp.S90-S96. ISSN 0048-766X.  http://dx.doi.org/10.4067/S0717-75262020000700012.

Introduction:

Ketoacidosis in pregnancy is a medical emergency that requires treatment in an intensive care unit due to its association with maternal-fetal morbimortality. Pregnant women may present an atypical form of the condition called normoglycemic ketoacidosis, being very rare in patients with no history of diabetes.

Clinical Case:

We present a pregnant woman in the third trimester of pregnancy, without history of diabetes, admitted to a critical patient unit due to COVID-19 pneumonia and metabolic acidosis with an increased anion gap. A diagnosis of normoglycemic ketoacidosis was made after admission, and intensive treatment of acid-base disorder was initiated, with good evolution.

Conclusion:

SARS-CoV-2 infection can cause normoglycemic ketoacidosis in non-diabetic pregnant women; is required a high clinical suspicion to make the diagnosis and appropriate treatment.

Keywords : normoglycemic ketoacidosis; pregnancy; COVID-19.

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