Hyperosmolar non-ketotic diabetic coma and rhabdomyolysis.
نویسندگان
چکیده
Rhabdomyolysis is a rare but potentially fatal complication of hyperosmolar states. We report a case of severe hyperosmolar non-ketotic diabetic coma causing rhabdomyolysis in a young man. Despite very high levels of creatine kinase there was no detectable myoglobinuria. Creatine kinase estimation should be a standard investigation in all patients presenting with a hyperosmolar state.
منابع مشابه
Hyperosmolar Hyperglycemic Non Ketotic Coma and Rhabdomyolysis; An Uncommon Clinical Encounter
Rhabdomyolysis is usually attributed to trauma. However there is an association of rhabdomyolysis with hyperosmolar states. Recognition of this association will enable better management of the patient and reduce the burden on the care taker by preventing the onset of complications that can prove fatal. It is also important to realise that hyperosmolar coma can be the presenting complaint of a d...
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متن کاملمراحل اغماء دیابتیک
EXTRACT When you are faced with a diabetic person that has been numbness, lethargic or confuse condition and Likely to enter into a diabetic coma what nursing interventions should be done? The answer of question is related to complete review of symptoms by nurses. Typically, in the most cases hypoglycemia can cause coma. The next cause of coma is diabetic ketoacidosis ...
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متن کاملRhabdomyolysis associated with cranial diabetes insipidus.
Rhabdomyolysis has been reported to be associated with hyperosmolality in diabetic ketoacidosis and non-ketotic hyperosmolal state. Whether the rhabdomyolysis was due to hyperosmolality per se or whether hyperglycaemia also played a role is not clear. We hereby report a case of cranial diabetes insipidus with hypernatraemia and hyperosmolality complicated by rhabdomyolysis. None of the known ri...
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عنوان ژورنال:
- Postgraduate medical journal
دوره 70 819 شماره
صفحات -
تاریخ انتشار 1994