Background: Euglycaemic ketoacidosis (EKA) is an infrequent but serious condition which usually follows a period of starvation, severe vomiting or illness in individuals with or without diabetes. Ketoacidosis is associated with materno-fetal morbidity and mortality necessitating prompt diagnosis and management. Physiological increases in insulin resistance render pregnancy a diabetogenic state with increased susceptibility to ketosis. COVID-19 is associated with worse clinical outcomes in patients with diabetes and is an independent risk factor for ketoacidosis in normoglycaemic individuals. Case presentations: We describe two cases of SARS-CoV-2 positive pregnant women presenting with normoglycaemic metabolic ketoacidosis. Both cases were associated with maternal and fetal compromise, requiring aggressive fluid and insulin resuscitation and early delivery. Conclusion: We discuss possible physiology and propose a management strategy for euglycaemic ketoacidosis in pregnancy.
CITATION STYLE
Pikovsky, M., Tan, M. Y., Ahmed, A., Sykes, L., Agha-Jaffar, R., & Yu, C. K. H. (2021). Euglycaemic ketoacidosis in pregnant women with COVID-19: two case reports. BMC Pregnancy and Childbirth, 21(1). https://doi.org/10.1186/s12884-021-03928-w
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