The patient’s hemoglobin level was 13.8 g/dL, her WBC count was 10,300/μL with 12% bands, and platelet count was 28,000/μL. Her blood sodium level was 132 mM/L, potassium level was 4.4 mM/L, chloride level was 97 mM/L, bicarbonate level was 16 mM/L, blood urea nitrogen was 57 mg/dL, and creatinine level was 3.5 mg/dL. Her blood glucose level was 425 mg/dL; urinalysis results were positive for leukocyte esterase, pyuria, and ketones. The serum β-hydroxybutyrate level was elevated, lactic acid level was 3.2 mM/L. The patient’s arterial pH was 7.06, CO2 level was 62.1 mm Hg, and oxygen level was 140 mm Hg on 80% fraction of inspired oxygen. Subsequent blood and urine cultures grew E coli resistant to fluoroquinolones.