Euglycemic Diabetic Keto Acidosis is a rare form of DKA seen in patients who are taking SGLT-2 inhibitor medication for the treatment of diabetes mellitus. It is a life-threatening condition and should be diagnosed early. The absence of hyperglycemia poses challenges to the treating Emergency physicians in diagnosing this entity at an early stage....

A 51-year-old man with advanced ALS and home mechanical ventilator dependence presented with fever, tachycardia, hypotension and leukocytosis. Chest radiograph showed a large left pleural effusion (Figure 1) and an unenhanced chest CT confirmed a loculated effusion with gas bubbles (Figure 2) and large air-fluid level (Figure 3)....