Stress Hyperglycemia Secondary to Abdominal Emergency Mimicking Diabetic Ketoacidosis in a Pediatric Patient

Abdominal pain in a pediatric patient with diabetic ketoacidosis (DKA) can be mistaken for surgical or septic causes of acute abdomen. Both DKA and surgical abdominal emergencies can cause lactic acidosis (LA), which makes it challenging to differentiate between them. Fluid therapy resulting in quic...

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Autores principales: Elbelihy, Ossma E, Masalmeh, Hussein A, Shah, Muhammad Nauman, Khan, Noman, Gebril, Amr A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Emergency Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10181911/
https://www.ncbi.nlm.nih.gov/pubmed/37187638
http://dx.doi.org/10.7759/cureus.37505
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author Elbelihy, Ossma E
Masalmeh, Hussein A
Shah, Muhammad Nauman
Khan, Noman
Gebril, Amr A
author_facet Elbelihy, Ossma E
Masalmeh, Hussein A
Shah, Muhammad Nauman
Khan, Noman
Gebril, Amr A
author_sort Elbelihy, Ossma E
collection PubMed
description Abdominal pain in a pediatric patient with diabetic ketoacidosis (DKA) can be mistaken for surgical or septic causes of acute abdomen. Both DKA and surgical abdominal emergencies can cause lactic acidosis (LA), which makes it challenging to differentiate between them. Fluid therapy resulting in quick alleviation of metabolic acidosis could be a valuable sign in differentiating surgical abdomen from DKA. In this report, we present a case of the surgical abdomen with stress hyperglycemia that mimicked DKA.
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spelling pubmed-101819112023-05-13 Stress Hyperglycemia Secondary to Abdominal Emergency Mimicking Diabetic Ketoacidosis in a Pediatric Patient Elbelihy, Ossma E Masalmeh, Hussein A Shah, Muhammad Nauman Khan, Noman Gebril, Amr A Cureus Emergency Medicine Abdominal pain in a pediatric patient with diabetic ketoacidosis (DKA) can be mistaken for surgical or septic causes of acute abdomen. Both DKA and surgical abdominal emergencies can cause lactic acidosis (LA), which makes it challenging to differentiate between them. Fluid therapy resulting in quick alleviation of metabolic acidosis could be a valuable sign in differentiating surgical abdomen from DKA. In this report, we present a case of the surgical abdomen with stress hyperglycemia that mimicked DKA. Cureus 2023-04-12 /pmc/articles/PMC10181911/ /pubmed/37187638 http://dx.doi.org/10.7759/cureus.37505 Text en Copyright © 2023, Elbelihy et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Emergency Medicine
Elbelihy, Ossma E
Masalmeh, Hussein A
Shah, Muhammad Nauman
Khan, Noman
Gebril, Amr A
Stress Hyperglycemia Secondary to Abdominal Emergency Mimicking Diabetic Ketoacidosis in a Pediatric Patient
title Stress Hyperglycemia Secondary to Abdominal Emergency Mimicking Diabetic Ketoacidosis in a Pediatric Patient
title_full Stress Hyperglycemia Secondary to Abdominal Emergency Mimicking Diabetic Ketoacidosis in a Pediatric Patient
title_fullStr Stress Hyperglycemia Secondary to Abdominal Emergency Mimicking Diabetic Ketoacidosis in a Pediatric Patient
title_full_unstemmed Stress Hyperglycemia Secondary to Abdominal Emergency Mimicking Diabetic Ketoacidosis in a Pediatric Patient
title_short Stress Hyperglycemia Secondary to Abdominal Emergency Mimicking Diabetic Ketoacidosis in a Pediatric Patient
title_sort stress hyperglycemia secondary to abdominal emergency mimicking diabetic ketoacidosis in a pediatric patient
topic Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10181911/
https://www.ncbi.nlm.nih.gov/pubmed/37187638
http://dx.doi.org/10.7759/cureus.37505
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