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{
    "pk": 846,
    "title": "Euglycemic Diabetic Ketoacidosis Precipitated by SGLT-2 Inhibitor Use, Pericarditis, and Fasting: A Case Report",
    "subtitle": null,
    "abstract": "Introduction:\n Diabetic ketoacidosis (DKA) is a potentially life-threatening complication of diabetes mellitus. Less prevalent is euglycemic DKA (eDKA)—DKA with serum glucose less than 200 mg/dL; however, it is increasing in frequency with the introduction of sodium glucose cotransporter 2 (SGLT-2) inhibitors for treatment of type 2 diabetes.\nCase Report:\n We report a case of SGLT-2 inhibitor-associated eDKA presenting with concurrent acute pericarditis.\nDiscussion:\n Our case suggests that the cause of eDKA can be multifactorial when decreased oral intake occurs in the setting of an acute cause of physiologic stress.\nConclusion:\n Prompt recognition of eDKA in the emergency department may allow earlier diagnosis and treatment directed at one or more of its underlying causes.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Euglycemic DKA"
        },
        {
            "word": "SGLT-2 Inhibitor"
        },
        {
            "word": "Pericarditis"
        },
        {
            "word": "Fasting"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/1gn8w43x",
    "frozenauthors": [
        {
            "first_name": "Rebecca",
            "middle_name": "A.",
            "last_name": "Mendelsohn",
            "name_suffix": "",
            "institution": "Florida Atlantic University Charles E. Schmidt College of Medicine, Department of Emergency Medicine, Boca Raton, Florida",
            "department": "None"
        },
        {
            "first_name": "Anabelle",
            "middle_name": "N.",
            "last_name": "Taveras",
            "name_suffix": "",
            "institution": "Florida Atlantic University Charles E. Schmidt College of Medicine, Department of Emergency Medicine, Boca Raton, Florida",
            "department": "None"
        },
        {
            "first_name": "Benjamin",
            "middle_name": "A.",
            "last_name": "Mazer",
            "name_suffix": "",
            "institution": "Florida Atlantic University Charles E. Schmidt College of Medicine, Department of Emergency Medicine, Boca Raton, Florida",
            "department": "None"
        },
        {
            "first_name": "Lisa",
            "middle_name": "M.",
            "last_name": "Clayton",
            "name_suffix": "",
            "institution": "Florida Atlantic University Charles E. Schmidt College of Medicine, Department of Emergency Medicine, Boca Raton, Florida",
            "department": "None"
        }
    ],
    "date_submitted": "2020-06-16T03:23:01+08:00",
    "date_accepted": "2020-06-16T03:23:01+08:00",
    "date_published": "2020-06-16T03:25:16+08:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/846/galley/598/download/"
        }
    ]
}