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NDT Plus. 2009 Aug;2(4):278-9. doi: 10.1093/ndtplus/sfp052. Epub 2009 Apr 29.

A case of bovine ketoacidosis in a lactating woman.

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Department of Nephrology , Lenox Hill Hospital , New York , USA.


A 36 year-old 5 weeks postpartum lactating woman presented to the emergency room with severe nausea and vomiting for 48 hours. The patient was found to be in non-diabetic ketoacidosis with a serum pH 6.9 and a HCO3 of <5mEq/L. This condition rapidly improved with the administration of intravenous dextrose and bicarbonate and with the cessation of breast feeding. The course and pathophysiology of the rarely described phenomenon of bovine ketosis in a human is discussed here.


acidosis; bovine ketoacidosis; lactation acidosis

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