<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2448-8909</journal-id>
<journal-title><![CDATA[Medicina crítica (Colegio Mexicano de Medicina Crítica)]]></journal-title>
<abbrev-journal-title><![CDATA[Med. crít. (Col. Mex. Med. Crít.)]]></abbrev-journal-title>
<issn>2448-8909</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Medicina Crítica A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2448-89092020000400245</article-id>
<article-id pub-id-type="doi">10.35366/95880</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Cetoacidosis diabética euglucémica en un estado perioperatorio por resección de quiste epidermoide del ángulo pontocerebeloso]]></article-title>
<article-title xml:lang="en"><![CDATA[Euglycemic diabetic ketoacidosis in perioperative state due to resection of the epidermoid cyst of the pontocerebellar angle]]></article-title>
<article-title xml:lang="pt"><![CDATA[Cetoacidose euglicêmica diabética em estado perioperatório devido à ressecção de cisto epidermóide do ângulo pontocerebelar]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pinedo Lechuga]]></surname>
<given-names><![CDATA[Marcela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vázquez Ramírez]]></surname>
<given-names><![CDATA[Roxana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Murillo Corona]]></surname>
<given-names><![CDATA[Pamela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Unidad Médica de Alta Especialidad Unidad de Cuidados Intensivos]]></institution>
<addr-line><![CDATA[Monterrey Nuevo León]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<volume>34</volume>
<numero>4</numero>
<fpage>245</fpage>
<lpage>248</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092020000400245&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092020000400245&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092020000400245&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La cetoacidosis diabética es una complicación aguda de la diabetes mellitus, caracterizada por acidosis metabólica con un aumento de la brecha aniónica y evidencia de cuerpos cetónicos en sangre u orina. En la mayor parte de los casos se presenta con hiperglucemia. La cetoacidosis diabética euglucémica se define por la tríada de glucosa con valores menores de 200 mg/dL, acidosis metabólica con anión gap elevado y cetonemia. Los factores asociados con esta entidad son embarazo, tratamiento con SGLT2, disminución da la ingesta calórica, enfermedades hepáticas, ingesta crónica de alcohol, uso de insulina previo a la hospitalización, sepsis, pancreatitis, aumento de las hormonas contrarreguladoras y estados perioperatorios. La base del tratamiento consiste en la corrección rápida de la deshidratación con fluidos intravenosos así como el uso de goteo de insulina junto con una solución que contiene dextrosa hasta que la brecha aniónica y los niveles de bicarbonato se normalicen. En este artículo se reporta el caso de una paciente que ingresa a UCI en el periodo perioperatorio inmediato.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Diabetic ketoacidosis is an acute complication of diabetes, characterized by metabolic acidosis with an increase in the values of anion gap and evidence of ketone bodies in blood or urine. In most cases, it is present with hyperglycemia. Euglycemic diabetic ketoacidosis is defined by the triad of glucose with values &lt; than 200 mg/dL, metabolic acidosis with high anion gap and ketonemia. The factors associated with this entity are pregnancy, treatment with SGLT2, decrease in caloric intake, liver disease, chronic alcohol intake, use of insulin prior to hospitalization, sepsis, pancreatitis, increase in counter-regulatory hormones and perioperative states. The basis of the treatment is the rapid correction of dehydration with intravenous fluids, as well as the use of insulin drip along with a solution containing dextrose until the anion gap, and bicarbonate levels normalize. In this article, a case of a patient admitted to the ICU in the immediate perioperative period is reported.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: A cetoacidose diabética é uma complicação aguda do diabetes mellitus, caracterizada por acidose metabólica com aumento do gap aniônico e evidência de corpos cetônicos no sangue ou na urina. Na maioria dos casos está presente com hiperglicemia. A cetoacidose diabética euglicêmica é definida pela tríade glicêmica com valores inferiores a 200 mg/dL, acidose metabólica com amplo ânion Gap e cetonemia. Os fatores associados a essa entidade são gravidez, tratamento com SGLT2, diminuição da ingestão calórica, doença hepática, ingestão crônica de álcool, uso de insulina antes da hospitalização, sepse, pancreatite, aumento de hormônios contra-regulatórios e estados perioperatórios. A base do tratamento consiste na correção rápida da desidratação com fluidos intravenosos, bem como no uso de infus&#257;o de insulina, juntamente com uma solução contendo dextrose até o hiato aniônico e os níveis de bicarbonato voltarem ao normal. Neste artigo, é relatado o caso de um paciente admitido na UTI no período perioperatório imediato.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cetoacidosis diabética euglucémica]]></kwd>
<kwd lng="es"><![CDATA[factores de riesgo]]></kwd>
<kwd lng="es"><![CDATA[diagnóstico]]></kwd>
<kwd lng="es"><![CDATA[tratamiento]]></kwd>
<kwd lng="en"><![CDATA[Euglycemic diabetic ketoacidosis]]></kwd>
<kwd lng="en"><![CDATA[risk factors]]></kwd>
<kwd lng="en"><![CDATA[diagnosis]]></kwd>
<kwd lng="en"><![CDATA[treatment]]></kwd>
<kwd lng="pt"><![CDATA[Cetoacidose diabética euglicêmica]]></kwd>
<kwd lng="pt"><![CDATA[fatores de risco]]></kwd>
<kwd lng="pt"><![CDATA[diagnóstico]]></kwd>
<kwd lng="pt"><![CDATA[tratamento]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lucero]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Chapela]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Euglycemic diabetic ketoacidosis in the ICU: 3 case reports and review of literature]]></article-title>
<source><![CDATA[Case Rep Crit Care]]></source>
<year>2018</year>
<volume>2018</volume>
<page-range>1-6</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Barski]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Eshkoli]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Brandstaetter]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Jotkowitz]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Euglycemic diabetic ketoacidosis]]></article-title>
<source><![CDATA[Eur J Intern Med]]></source>
<year>2019</year>
<volume>63</volume>
<page-range>9-14</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Meyer]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Gabb]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Jesudason]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[SGLT2 inhibitor-associated euglycemic diabetic ketoacidosis: a south Australian clinical case series and Australian spontaneous adverse event notifications]]></article-title>
<source><![CDATA[Diabetes Care]]></source>
<year>2018</year>
<volume>41</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>e47-9</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Karslioglu French]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Donihi]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Korytkowski]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diabetic ketoacidosis and hyperosmolar hyperglycemic syndrome: review of acute decompensated diabetes in adult patients]]></article-title>
<source><![CDATA[BMJ]]></source>
<year>2019</year>
<volume>365</volume>
<page-range>1114</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rawla]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Vellipuram]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Bandaru]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Pradeep Raj]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Euglycemic diabetic ketoacidosis: a diagnostic and therapeutic dilemma]]></article-title>
<source><![CDATA[Endocrinol Diabetes Metab Case Rep]]></source>
<year>2017</year>
<volume>2017</volume>
<page-range>17-0081</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kitabchi]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Umpierrez]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Miles]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Fisher]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hyperglycemic crises in adult patients with diabetes]]></article-title>
<source><![CDATA[Diabetes Care]]></source>
<year>2009</year>
<volume>32</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>1335-43</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Savage]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Dhatariya]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Kilvert]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Rayman]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Rees]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Courtney]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Hilton]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Dyer]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Hamersley]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Joint British diabetes societies guideline for the management of diabetic ketoacidosis]]></article-title>
<source><![CDATA[Diabet Med]]></source>
<year>2011</year>
<volume>28</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>508-15</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Munro]]></surname>
<given-names><![CDATA[JF]]></given-names>
</name>
<name>
<surname><![CDATA[Campbell]]></surname>
<given-names><![CDATA[IW]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Euglycaemic diabetic ketoacidosis]]></article-title>
<source><![CDATA[Br Med J]]></source>
<year>1973</year>
<volume>2</volume>
<page-range>578-80</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Qiu]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Novikov]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Vallon]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ketosis and diabetic ketoacidosis in response to SGLT2 inhibitors: basic mechanisms and therapeutic perspectives]]></article-title>
<source><![CDATA[Diabetes Metab Res Rev]]></source>
<year>2017</year>
<volume>33</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>2886</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Burge]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Hardy]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Schade]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Short-term fasting is a mechanism for the development of euglycemic ketoacidosis during periods of insulin deficiency]]></article-title>
<source><![CDATA[J Clin Endocrinol Metab]]></source>
<year>1993</year>
<volume>76</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>1192-8</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ogawa]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Sakaguchi]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Euglycemic diabetic ketoacidosis induced by SGLT2 inhibitors: possible mechanism and contributing factors]]></article-title>
<source><![CDATA[J Diabetes Investig]]></source>
<year>2015</year>
<volume>7</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>135-8</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kerr]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Wenham]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Munir]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Endocrine problems in the critically ill 1: diabetes and glycaemic control]]></article-title>
<source><![CDATA[BJA Education]]></source>
<year>2017</year>
<volume>17</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>370-7</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Yee]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Burns]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Wijdicks]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cerebral salt wasting: pathophysiology, diagnosis, and treatment]]></article-title>
<source><![CDATA[Neurosurg Clin N Am]]></source>
<year>2010</year>
<volume>21</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>339-52</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cuesta]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Hannon]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Thompson]]></surname>
<given-names><![CDATA[CJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diagnosis and treatment of hyponetraemia in neurosurgical patients]]></article-title>
<source><![CDATA[Endorinol Nutr]]></source>
<year>2016</year>
<volume>63</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>230-8</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Robinson]]></surname>
<given-names><![CDATA[AG]]></given-names>
</name>
<name>
<surname><![CDATA[Verbalis]]></surname>
<given-names><![CDATA[JG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Chapter 10, Williams Textbook of Endocrinology]]></article-title>
<source><![CDATA[Posterior pituitary]]></source>
<year>2016</year>
<page-range>300-32</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Joseph]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Anderson]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Goenka]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Vora]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Starvation-induced true diabetic euglycemic ketoacidosis in severe depression]]></article-title>
<source><![CDATA[J Gen Intern Med]]></source>
<year>2009</year>
<volume>24</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>129-31</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
