Diabetic Ketoacidosis Complicated by a Brain Death.
cerebral edema
severe diabetic ketoacidosis
type i diabetes mellitus
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
29 Jun 2020
29 Jun 2020
Historique:
entrez:
4
8
2020
pubmed:
4
8
2020
medline:
4
8
2020
Statut:
epublish
Résumé
Diabetic ketoacidosis (DKA) is a life-threatening complication of diabetes mellitus (DM). Cerebral edema (CE) can complicate DKA management. We report a patient with no significant medical history who presented with DKA and a new-onset DM; she received the standard management with regular insulin and IV fluids, the management resulted in a rapid drop in serum osmolality, the patient`s mental status deteriorated and became nonresponsive, brain imaging confirmed CE, a few days later the patient was declared brain dead by neurology. This case highlights the importance of gradual correction of hyperosmolar conditions including hyperglycemia and urges all healthcare providers to closely trend glucose levels in the management of DKA.
Identifiants
pubmed: 32742870
doi: 10.7759/cureus.8903
pmc: PMC7389190
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e8903Informations de copyright
Copyright © 2020, Kabashneh et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Lancet. 1990 Jul 7;336(8706):64
pubmed: 1973254
J Pediatr. 2002 Dec;141(6):793-7
pubmed: 12461495
Diabetes Care. 2006 May;29(5):1150-9
pubmed: 16644656
Indian Pediatr. 2020 Apr 15;57(4):294-295
pubmed: 32284474
Pediatr Crit Care Med. 2003 Apr;4(2):239-42
pubmed: 12749659
Curr Diabetes Rev. 2017;13(3):315-321
pubmed: 27097605
Arch Dis Child. 1999 Oct;81(4):318-23
pubmed: 10490436
Diabetes Care. 2009 Jul;32(7):1335-43
pubmed: 19564476
Am J Case Rep. 2018 May 15;19:562-566
pubmed: 29760374
Pediatr Diabetes. 2001 Dec;2(4):191-4
pubmed: 15016186
Case Rep Crit Care. 2020 Apr 30;2020:5917459
pubmed: 32411486
Pediatr Diabetes. 2001 Sep;2(3):109-14
pubmed: 15016193