Atypical Euglycemic Ketoacidosis in a non-diabetic Patient due to acute pancreatitis

We describe the case of a previously healthy 40- year-old Female with known medical history essential hypertension (HTN). She did not have past Diabetes Mellitus. presents to emergency department sudden onset severe shortness breath that began shortly after non-bilious, non-bloating emesis. also reported low-grade fever, nausea, cough, abdominal pain, pleuritic chest and generalized weakness. was found acute pancreatitis. diaphoretic. had Kussmaul breathing. subsequently admitted intensive care unit (ICU) for metabolic acidosis. The cause her acidosis clinical presentation be pancreatitis which very rarely can euglycemic ketoacidosis.