Simultaneous pulmonary and cerebral oedema, and multiple CNS infarctions as complications of diabetic ketoacidosis: a case report

Diabetic Medicine - Tập 23 Số 5 - Trang 571-573 - 2006
Anthony Dixon1, Edward B. Jude1, Arnab Banerjee1, Stephen C. Bain1
1Diabetes Centre and Department of Radiology, Birmingham Heartlands and Solihull Hospitals NHS Trust, Birmingham Heartlands Hospital, Birmingham, UK

Tóm tắt

AbstractWe present a case of a 29‐year‐old woman with known Type 1 diabetes who presented with diabetic ketoacidosis (DKA). Despite appropriate treatment and initial improvement, 12 h after initiation of treatment she deteriorated rapidly and developed pulmonary oedema, cerebral oedema and multiple infarctions of the brain and cervical spinal cord. This resulted in spastic quadraparesis and she has remained wheelchair‐bound. These complications of DKA are rare and unpredictable. In this case report we discuss the proposed aetiologies of these complications with reference to our case report and highlight the importance of vigilance for early signs of these complications during the treatment of all patients with DKA.

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Tài liệu tham khảo

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Thông tin xuất bản

Diabetic Medicine

Tập 23 Số 5

571-573

Thông tin tác giả