DISSCUSSION
Previous study indicate that DKA can be precipitated by infection1,3. In our case, the patient was confirmed with
infection of Candida dubliniensis. At the meanwhile, the patient also
showed signs of intestinal obstruction, so we took measures of fasting,
which could be another cause for DKA 3,4. Our case
also indicated that in patients of DKA associated with uremia, ketones
analysis can be performed using the dialysis fluid in case of no urine
available. Most importantly, our report suggested that for DKA
associated with uremia patients, hemodialysis was not able to correct
acidosis. In our case, management strategies for DKA should be modified,
which is consistent with previous findings that current management
strategies for DKA is not suitable to patients with end-stage renal
disease (ESRD) 5. Moreover, our example provided the
evidence that CRRT can be an optimal strategy to treat DKA associated
with uremia, which can serve as an alternative approach for DKA patients
associated with ESRD.
Conflict of interest: The authors declare no conflicts of
interest in association with the present study.
Data availability statement: The data that support the findings
of this study are available from the corresponding author upon
reasonable request.Author contribution: MZ and LL analyzed the
data and wrote the paper. HX and HF assisted with the data collection
and analyze. All authors read and approved the final manuscript.