Farheen Samad, Z. Mohmed, A. Shirgaonkar
We report a presentation of severe Diabetic Ketoacidosis (DKA) due to Thyroxin (T4) toxicosis admitted to our Inten- sive Care Unit. Excess ingestion of Thyroxin over a three month period, resulted from an inadvertent prescribing er- ror. Accepting that there were failures of our safeguards across the primary and secondary care setting, we highlight and share our case and the importance on identifying an atypical precipitant of DKA.