A CASE OF LACTATION BOVINE KETOACIDOSIS

A 35-year-old postpartum lactating woman presented with dyspnea and was found to be in non-diabetic ketoacidosis (pH 7.24, HCO3 10 mmol/L, urine ketones >80 mg/dL). Rapid clinical and laboratory resolution occurred after intravenous dextrose and enteral feeding along with discontinuation of lactation. This represents a rarely reported case of lactation bovine ketoacidosis in humans. We review the historical precedence for the diagnosis and detail the underlying physiology. (C) 2008 Elsevier Inc.