Ketogenic Diet-Induced Severe Ketoacidosis in a Lactating Woman: A Case Report and Review of the Literature

Table 1

Literature review of existing case reports and their precipitating factor.

Case Report	Precipitating Factor
A case of lactation “bovine” ketoacidosis [14]	Breastfeeding twins in the setting of a “selected diet”
A severe case of iatrogenic lactation ketoacidosis [15]	Nil per oral for 3 days to treat a bowel obstruction
“Bovine ketosis” in a nondiabetic postpartum woman [16]	Urinary tract infection in the setting of a weight reduction diet
Severe spontaneous “bovine” ketoacidosis in a lactating woman [17]	Urinary tract infection in the setting of a high protein, carbohydrate-free reduction diet
A case of bovine ketoacidosis in a lactating woman [18]	2-day nausea & vomiting in the setting of several small high-protein carbohydrate-free meals
Ketoacidosis associated with low-carbohydrate diet in a non-diabetic lactating woman [19]	Low carbohydrate, high fat diet for 10 days
Starvation ketosis in a breastfeeding woman [20]	Bariatric surgery during lactation
Severe ketoacidosis in breastfeeding woman with low energy and carbohydrate intake [21]	Illness while on a low carbohydrate diet
Ketoacidosis in a non-diabetic woman who was fasting during lactation [22]	Starvation during lactation due to abdominal pain
Lactation ketoacidosis: an unusual entity and a review of the literature [23]	No precipitating factor except for lactation
Life-threatening lactation or Bovine ketoacidosis [24]	Frequent skipping of meals while on a high protein, low carbohydrate diet
A rare cause of metabolic acidosis: ketoacidosis in a non-diabetic lactating woman [25]	Gastroenteritis in the setting of a low carbohydrate diet