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.