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July 1978

Salicylate-Induced Hypoglycemia and Ketoacidosis in a Nondiabetic Adult

Author Affiliations

From the Department of Medicine, Cornell University Medical College, New York.

Arch Intern Med. 1978;138(7):1153-1154. doi:10.1001/archinte.1978.03630320085031

A 78-year-old, nondiabetic woman was admitted to the hospital with salicylate-induced hypoglycemia. Ketosis was present with a moderate metabolic acidosis and primary respiratory alkalosis. The patient's mental status improved immediately following intravenous administration of glucose. The case illustrates salicylate's hypoglycemic activity, and that the metabolic acidosis may have exacerbated symptoms of cerebral glucopenia.

(Arch Intern Med 138:1153-1154, 1978)