Alcohol-related hypoglycemia in rural Uganda: socioeconomic and physiologic contrastsReport as inadecuate

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International Journal of Emergency Medicine

, 4:5

First Online: 10 February 2011Received: 02 July 2010Accepted: 10 February 2011


Hypoglycemia is a rare but important complication seen in patients who present with alcohol intoxication. In a study by Marks and Teale, less than one percent of people with alcohol intoxication who presented to an American emergency department were hypoglycemic 1. It is even more rare to see an intoxicated patient, who had been eating appropriately prior to or during the intoxication, present in a hypoglycemic coma. However, our analysis of the first 500 patients seen in a newly opened five-bed Emergency Department ED at Nyakibale Karoli Lwanga Hospital in rural southwestern Uganda, revealed multiple intoxicated patients who presented in hypoglycemic coma within hours of eating a full meal. Three of these cases are summarized and discussed below.

Electronic supplementary materialThe online version of this article doi:10.1186-1865-1380-4-5 contains supplementary material, which is available to authorized users.

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Author: Heather Hammerstedt - Stacey L Chamberlain - Sara W Nelson - Mark C Bisanzo


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