PEDIATRICS Vol. 88 No. 4 October 1991, pp. 806-807
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Starvation Ketosis After Rehydration With Diet Soda

PAUL LEWIS MD1

1 Department of Pediatrics, University of Utah, 50 Medical Drive, Salt Lake City, Utah 84132

Pediatricians often tell parents to give their children clear liquids for hydration during acute gastroenteritis. Since the release of aspartame (Nutrasweet) in 1981, the composition of some clear liquids for hydration of children has changed. Although 12 ounces of sucrose-sweetened carbonated beverage contains about 100 calories, the same volume of aspartame-sweetened beverage contains about one calorie. Therefore, using aspartame-sweetened beverage to support hydration in children with diarrhea theoretically increases the potential for a starvation state to develop. A case of oral rehydration associated with starvation ketosis is described.

CASE HISTORY

In the 3 weeks preceding admission, a 5-year-old boy had been treated with oral cephalexin (Keflex) for a knee infection (septic arthritis vs cellulitis).

Submitted on August 30, 1990
Accepted on January 9, 1991




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DIET SODA IS DANGEROUS FOR ORAL REHYDRATION
Journal Watch (General), October 29, 1991; 1991(1029): 5 - 5.
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