KaydedilenlerDerginizi ekleyin

Dergiler / Gülhane Tıp Dergisi / 2019 / Cilt: 61 - Sayı: 3

A rare presentation of diabetic ketoacidosis: Meningeal syndrome

Neslihan KAYAHAN SATIŞ
İskender Arda NACAR
BİLGİN BAHADIR BAŞGÖZ
Kenan SAĞLAM
İLKER TAŞÇI
Sayfa
135–137
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Our observations may contribute to the care of patients with DKA who are on such treatment regimens.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Diabetic ketoacidosis (DKA) typically presents with abdominal pain, vomiting, fatigue, and excessive thirst.
📊
Temel Bulgular & Veri:Although it is a state of acidosis, symptoms related to the central nervous system are not frequent in DKA.
💡
Sonuç & Katkı:Our observations may contribute to the care of patients with DKA who are on such treatment regimens.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Özet

Diabetic ketoacidosis (DKA) typically presents with abdominal pain, vomiting, fatigue, and excessive thirst. Although it is a state of acidosis, symptoms related to the central nervous system are not frequent in DKA. We here report our experience of a patient with DKA receiving immunosuppressive drugs due to renal transplantation who initially presented with the meningeal syndrome. The condition resolved quickly after correction of acidosis and hyperglycemia. In this particular case, we had clues for drug-related side effects of immunosuppressants that possibly facilitated the occurrence of meningeal irritation. Our observations may contribute to the care of patients with DKA who are on such treatment regimens.

🔖

Bu Makaleye Atıf Yap

SATIŞ, N. K., NACAR, İ. A., BAŞGÖZ, B. B., SAĞLAM, K., TAŞÇI, İ. (2019). A rare presentation of diabetic ketoacidosis: Meningeal syndrome. Gülhane Tıp Dergisi, Cilt: 61 - Sayı: 3, 135–137. https://ajindex.com/articles/160469

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (14)

  1. Ni Lochlainn M, Gooi HC, Ogese MO, Naisbitt DJ, Jafar-Mohammadi B. Trimethoprim-induced aseptic meningism. British journal of hospital medicine (London, England: 2005). 2017;78(2):108-109
  2. Carayon A, Martin M, Girard P. [Cerebromeningeal accidents during sunstroke in the tropics. Neurosurgical complications]. Medecine tropicale: revue du Corps de sante colonial. 1962;22:347-354
  3. Bozek M, Konopko M, Wierzba-Bobrowicz T, Witkowski G, Makowicz G, Sienkiewicz-Jarosz H. Autoimmune meningitis and encephalitis in adult-onset still disease - Case report. Neurologia i neurochirurgia polska. 2017;51(5):421-426
  4. Mamishi S, Sarkardeh M, Pourakbari B, Keshavarz Valian S, Sabouni F, Mahmoudi S. Aseptic meningitis after measles-mumps-rubella (MMR) vaccination. British journal of biomedical science. 2016;73(2):84-86
  5. Dosi RV, Patell RD, Shah PJ, Joshi HK. Diabetic ketoacidosis: an unusual presentation of acromegaly. BMJ case reports. 2013;2013
  6. Albareda MM, Wagner A, Puig M, Corcoy R. Is diabetic ketoacidosis a cause of meningeal syndrome? Case report. Diabetes care. 1998;21(9):1572-1573
  7. Warncke K, Dressel P, Ziegler AG, Steinborn M, Bonfig W, Burdach S, et al. Severe pretreatment cerebral edema in newly diagnosed type 1 diabetes. Hormone research in paediatrics. 2014;81(4):285-288
  8. Meaden CW, Kushner BJ, Barnes S. A Rare and Lethal Complication: Cerebral Edema in the Adult Patient with Diabetic Ketoacidosis. Case reports in emergency medicine. 2018;2018:5043752
  9. Hiller KM, Wolf SJ. Cerebral edema in an adult patient with diabetic ketoacidosis. The American journal of emergency medicine. 2005;23(3):399-400
  10. Edge JA, Hawkins MM, Winter DL, Dunger DB. The risk and outcome of cerebral oedema developing during diabetic ketoacidosis. Archives of disease in childhood. 2001;85(1):16-22
  11. Edge JA, Jakes RW, Roy Y, Hawkins M, Winter D, Ford-Adams ME, et al. The UK case-control study of cerebral oedema complicating diabetic ketoacidosis in children. Diabetologia. 2006;49(9):2002-2009
  12. Siwakoti K, Giri S, Kadaria D. Cerebral edema among adults with diabetic ketoacidosis and hyperglycemic hyperosmolar syndrome: Incidence, characteristics, and outcomes. Journal of diabetes. 2017;9(2):208-209
  13. Rabinstein A. Neurocritical Care, An Issue of Neurologic Clinics, Volume 35-4 1st Edition2017
  14. Pizzi M, Ng L. Neurologic Complications of Solid Organ Transplantation. Neurologic clinics. 2017;35(4):809-823.