The purpose of this feature is to heighten awareness of specific adverse drug reactions (ADRs), discuss methods of prevention, and promote reporting of ADRs to the US Food and Drug Administration's (FDA's) MEDWATCH program (800-FDA-1088). If you have reported an interesting, preventable ADR to MEDWATCH, please consider sharing the account with our readers.

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Methemoglobinemia Caused by Topical Dapsone Gel; Renal Tubular Acidosis after Topiramate Administration; Diabetic Ketoacidosis following Epidural Steroid Injection in a Nondiabetic Patient; Galactorrhea Associated with Bupropion Therapy; Telaprevir-Induced Acquired Perforating Dermatosis; Manic Episodes Associated with Tramadol Use:

Our case describes a 56-year-old African-American female who underwent fluoroscopy-guided epidural steroid injection for recurrent neck and arm pain. The administration of steroid injections has been shown to diminish peripheral glucose metabolism and to stimulate gluconeogenesis, thus elevating blood glucose concentration and worsening insulin resistance. Though uncommon, diabetic ketoacidosis (DKA) can arise following both epidural steroid treatments in diagnosed diabetics or in cases of coinciding infection. At the time of the epidural injection, the patient showed no signs of acute infection, concomitant drug use or any documented diabetes, all potential causes of DKA. Our case is unique because it describes a documented non-diabetic patient who went into DKA following cervical epidural steroid injection. J Med Cases. 2014;5(9):495-497 doi: http://dx.doi.org/10.14740/jmc1846w

Diabetic Ketoacidosis Following Administration of Cervical Epidural Steroid Injection in a Non-Diabetic

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Diabetic Ketoacidosis Following Administration of Cervical Epidural Steroid Injection in a Non-Diabetic