Document Type
Article
Publication Title
Journal of Medical Cases
Abstract
Our case describes a 56-year-old African-American female who underwent fluoroscopy-guided epidural steroid injection for recurrent neck and arm pain. The administration of steroid injections has been shown to diminish peripheral glucose metabolism and to stimulate gluconeogenesis, thus elevating blood glucose concentration and worsening insulin resistance. Though uncommon, diabetic ketoacidosis (DKA) can arise following both epidural steroid treatments in diagnosed diabetics or in cases of coinciding infection. At the time of the epidural injection, the patient showed no signs of acute infection, concomitant drug use or any documented diabetes, all potential causes of DKA. Our case is unique because it describes a documented non-diabetic patient who went into DKA following cervical epidural steroid injection.
DOI
10.14740/jmc1846w
Publication Date
2014
Keywords
Diabetic ketoacidosis, Diabetes, Epidural steroid injection, Degenerative disc disease
ISSN
1923-4163
Recommended Citation
Berry AC, Tick ME, Patel BB, O'Malley CW, Nakshabendi R, Bellardini J, Caplan A, Berry NA, Reuther WL. Diabetic Ketoacidosis Following Administration of Cervical Epidural Steroid Injection in a Non-Diabetic. Journal of Medical Cases. 2014; 5(9). doi: 10.14740/jmc1846w.
