{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T21:38:50Z","timestamp":1774993130350,"version":"3.50.1"},"reference-count":7,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,8,26]],"date-time":"2020-08-26T00:00:00Z","timestamp":1598400000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Diabetes Invest"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We report the first case of intraoperatively detected euglycemic diabetic ketoacidosis (DKA) associated with sodium\u2013glucose cotransporter\u00a02 inhibitors during thoracic surgery. A 59\u2010year\u2010old man had a 12\u2010year history of type\u00a02 diabetes mellitus treated with insulin and empagliflozin. The patient developed bacterial empyema and was initiated with antibiotics at a local hospital. Owing to the persistence of his symptoms, he was transferred to our hospital after the medication of empagliflozin the day before surgery. After overnight fasting, the patient underwent thoracoscopic debridement and intrathoracic lavage surgery. During this surgery, he was noted to have euglycemic ketosis and acidosis, and diagnosed as euglycemic DKA. Immediately after the consultation in our department, the patient underwent treatment for DKA. He awoke from anesthesia normally and showed no symptoms of DKA. DKA gradually resolved over the next 24\u00a0h. Early identification and management are critical for rapid recovery from perioperative euglycemic DKA associated with sodium\u2013glucose cotransporter\u00a02 inhibitors, especially during thoracic surgery.<\/jats:p>","DOI":"10.1111\/jdi.13365","type":"journal-article","created":{"date-parts":[[2020,7,20]],"date-time":"2020-07-20T03:13:49Z","timestamp":1595214829000},"page":"664-667","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Early detection of euglycemic ketoacidosis during thoracic surgery associated with empagliflozin in a patient with type\u00a02 diabetes: A case report"],"prefix":"10.1111","volume":"12","author":[{"given":"Chie","family":"Kitahara","sequence":"first","affiliation":[{"name":"The First Department of Medicine Wakayama Medical University Wakayama 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