de Oliveira, RaquelAlmeida, ManuelLavado, PedroBaptista, Alexandre2024-09-252024-09-252024-04-011646-0758http://hdl.handle.net/10400.1/25937Critically ill patients are at higher risk of acquired liver in-jury, given the multiple coexisting potential causes of injury.1They are also at risk of stress ulcers, and prophylaxis with proton pump inhibitors (PPIs) is common in Intensive Care Units (ICUs). A 54-year-old woman was admitted to the ICU due to diabetic ketoacidosis (DKA). On admission, she was hemo-dynamically stable, with a Glasgow Coma Scale score of 7 (E2V1M4). Her abdominal examination was normal, without palpable organomegalies, and her liver blood tests were within the normal range. She was intubated for airway pro-tection and started on intravenous fluids, insulin perfusion, and prophylaxis with intravenous pantoprazole 40 mg/day.engChemical and Drug Induced Liver InjuryDiabetic Ketoa-cidosisPantoprazoleCetoacidose DiabéticaLesões Hepáticas Induzidas por Produtos Químicos e MedicamentosPantoprazolletter to the editor10.20344/amp.209280870-399X