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We report a severe case of AKA with extreme hyperlactatemia, in which the patient developed shock and disseminated intravascular coagulation, emphasizing early recognition and timely intervention.<\/jats:p>","DOI":"10.1002\/ccr3.73377","type":"journal-article","created":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T04:23:42Z","timestamp":1787372622000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Alcoholic Ketoacidosis Complicated by Hyperlactatemia: A Case Report"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-6850-220X","authenticated-orcid":false,"given":"Huang","family":"Dongge","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine Jinan Fourth People's Hospital  Jinan Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-7666-7829","authenticated-orcid":false,"given":"Du","family":"Qing","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Jinan Fourth People's Hospital  Jinan Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,21]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1155\/2024\/8889415"},{"key":"e_1_2_10_3_1","first-page":"265","article-title":"The Metabolism of Alcohol","volume":"74","author":"Paquot N.","year":"2019","journal-title":"Revue M\u00e9dicale de Li\u00e8ge"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.35946\/arcr.v38.2.08"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0300-595X(83)80047-4"},{"issue":"5","key":"e_1_2_10_6_1","first-page":"476","article-title":"Diabetic Ketoacidosis: Evaluation and Treatment","volume":"110","author":"Veauthier B.","year":"2024","journal-title":"American Family Physician"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjdrc-2023-003666"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/096032719601500604"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.04500422"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2021.09.007"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2017.06.023"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.7326\/M17-2145"},{"key":"e_1_2_10_13_1","unstructured":"\u201cDouble CRRT in Profound Alcoholic Ketoacidosis and Shock: Salvage Extracorporeal Therapy in a Malnourished Hyperosmolar Patient in the Intensive Care Unit (ICU) ASN. 2025.11.07.\u201d"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijlh.12830"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.73377","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.73377","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.73377","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T05:22:50Z","timestamp":1788153770000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.73377"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":13,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1002\/ccr3.73377"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.73377","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"2026-05-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e73377"}}