A case is presented of a 15-year-old boy with a past medical history of hyperlipidemia and hypertension. He attended the emergency department with a 3-day history of vomiting, acute abdominal pain, and altered mental status. Laboratory data on admission revealed metabolic acidosis (pH: 7.12, BE: -20.8 mmol/L), high blood glucose level (32.1 mmol/L) and significant hyperlipidemia (cholesterol: 1...

The incidence of functional intussusception is extremely rare in adults. A 23-year-old woman, previously diagnosed with type 1 diabetes mellitus (DM), complained of colicky abdominal pain associated with vomiting of 1-day duration. Currant jelly stool was observed. Irrespective of hydration and intravenous insulin injection under the diagnosis of diabetic ketoacidosis (DKA), her abdominal pain ...

Background: Type 1 diabetes mellitus (T1DM) results from the destruction of pancreatic beta cells, genetic and environmental factors are believed to be major component for the development of disease. Viruses have been suspected to contribute to the onset of T1DM. Case report: We describe here a patient who had diabetic ketoacidosis with acute fulminant hepatitis following asymptomatic infection...

Continuous intravenous insulin and dextrose infusions were used in managing various diabetic emergencies. Standard and constant rates of insulin and dextrose infusion resulted in satisfactory control of blood glucose concentrations during labour, after major surgery, and in patients recovering from ketoacidosis (average insulin infusion rates 1, 2, and 3 U/h respectively). Higher infusion rates...

Numerous investigations have been devoted to the search for environmental factors controlling the onset of autoimmune diseases. Pancreatic involvement, a rare complication of Henoch-Schonlein purpura, has been found mainly in adults, and it has not been reported in children. We present a case of a severe diabetic ketoacidosis in a child, a 7-year-old boy, following a typical clinical picture of...

Result: A 43-year-old man with a history of diabetes mellitus presented with vomiting, diarrhea and fatigue for 2 days and his laboratory tests showed high serum glucose and diabetic ketoacidosis. CT scan of the abdomen showed no abnormity. Intravenous fluid resuscitation and continuous insulin infusion was initiated. Omeprazole was started for possible upper gastrointestinal hemorrhage. Hypoca...

INCIDENCE — Clinically significant cerebral edema occurs in approximately 1 percent of episodes of diabetic ketoacidosis in children and has a mortality rate of 20 to 90 percent; 50 to 80 percent of diabetes-related deaths are caused by cerebral edema [1-3]. Overall mortality rates for diabetic ketoacidosis (DKA) in children range from 0.15 to 0.51 percent in national population studies in Cana...

To determine the effects of diabetic ketoacidosis on the brain, we studied nine consecutive patients between the ages of 6 and 17 years by performing cranial CT on three occasions: on admission, before treatment; 6-8 hr after beginning treatment; and 7 days after admission. Both the pretreatment scans and those at 6-8 hr showed significantly reduced size of the lateral and third ventricles in c...

UNLABELLED Alcohol accounts for a great amount of deaths per year either due to the acute intoxication or due to the secondary impacts of acute or chronic alcoholism. Commonly, in large amount of such fatal cases blood alcohol concentration is low or absent and fatty liver disease is frequently the only pathological finding detected at the autopsy of alcohol consumer. We offer a short case repo...