AC. Heffner and DP. Johnson (2008). A case of lactation "bovine" ketoacidosis. The Journal of emergency medicine, 35(4), 385-7. https://doi.org/10.1016/j.jemermed.2007.04.013

PubMed 17976809

[Abstract]
A 35-year-old postpartum lactating woman presented with dyspnea and was found to be in non-diabetic ketoacidosis (pH 7.24, HCO3 10 mmol/L, urine ketones>80 mg/dL). Rapid clinical and laboratory resolution occurred after intravenous dextrose and enteral feeding along with discontinuation of lactation. This represents a rarely reported case of lactation "bovine" ketoacidosis in humans. We review the historical precedence for the diagnosis and detail the underlying physiology.