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A Case of Diabetic Ketoacidosis Presented With Severe Rhabdomyolysis-Induced Acute Kidney Injury
We present a patient who presented with diabetic ketoacidosis and severe rhabdomyolysis-induced acute kidney injury. The patient developed generalized edema, nausea, and vomiting, and his kidney function deteriorated, necessitating renal replacement therapy, despite the successful treatment of his i...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10206602/ https://www.ncbi.nlm.nih.gov/pubmed/37228554 http://dx.doi.org/10.7759/cureus.38042 |
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author | Amin, Toka Nassar, Mahmoud Abosheaishaa, Hazem Ali, Amr Zirkiyeva, Milana Lopez, Ricardo |
author_facet | Amin, Toka Nassar, Mahmoud Abosheaishaa, Hazem Ali, Amr Zirkiyeva, Milana Lopez, Ricardo |
author_sort | Amin, Toka |
collection | PubMed |
description | We present a patient who presented with diabetic ketoacidosis and severe rhabdomyolysis-induced acute kidney injury. The patient developed generalized edema, nausea, and vomiting, and his kidney function deteriorated, necessitating renal replacement therapy, despite the successful treatment of his initial conditions. A comprehensive evaluation was conducted to determine the underlying cause of the severe rhabdomyolysis, including autoimmune myopathies, viral infections, and metabolic disorders. A muscle biopsy revealed necrosis and myophagocytosis but no significant inflammation or myositis. The patient's clinical and laboratory results improved with appropriate treatment, including temporary dialysis and erythropoietin therapy, and he was discharged to continue his rehabilitation with home health care. |
format | Online Article Text |
id | pubmed-10206602 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-102066022023-05-24 A Case of Diabetic Ketoacidosis Presented With Severe Rhabdomyolysis-Induced Acute Kidney Injury Amin, Toka Nassar, Mahmoud Abosheaishaa, Hazem Ali, Amr Zirkiyeva, Milana Lopez, Ricardo Cureus Endocrinology/Diabetes/Metabolism We present a patient who presented with diabetic ketoacidosis and severe rhabdomyolysis-induced acute kidney injury. The patient developed generalized edema, nausea, and vomiting, and his kidney function deteriorated, necessitating renal replacement therapy, despite the successful treatment of his initial conditions. A comprehensive evaluation was conducted to determine the underlying cause of the severe rhabdomyolysis, including autoimmune myopathies, viral infections, and metabolic disorders. A muscle biopsy revealed necrosis and myophagocytosis but no significant inflammation or myositis. The patient's clinical and laboratory results improved with appropriate treatment, including temporary dialysis and erythropoietin therapy, and he was discharged to continue his rehabilitation with home health care. Cureus 2023-04-24 /pmc/articles/PMC10206602/ /pubmed/37228554 http://dx.doi.org/10.7759/cureus.38042 Text en Copyright © 2023, Amin 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 | Endocrinology/Diabetes/Metabolism Amin, Toka Nassar, Mahmoud Abosheaishaa, Hazem Ali, Amr Zirkiyeva, Milana Lopez, Ricardo A Case of Diabetic Ketoacidosis Presented With Severe Rhabdomyolysis-Induced Acute Kidney Injury |
title | A Case of Diabetic Ketoacidosis Presented With Severe Rhabdomyolysis-Induced Acute Kidney Injury |
title_full | A Case of Diabetic Ketoacidosis Presented With Severe Rhabdomyolysis-Induced Acute Kidney Injury |
title_fullStr | A Case of Diabetic Ketoacidosis Presented With Severe Rhabdomyolysis-Induced Acute Kidney Injury |
title_full_unstemmed | A Case of Diabetic Ketoacidosis Presented With Severe Rhabdomyolysis-Induced Acute Kidney Injury |
title_short | A Case of Diabetic Ketoacidosis Presented With Severe Rhabdomyolysis-Induced Acute Kidney Injury |
title_sort | case of diabetic ketoacidosis presented with severe rhabdomyolysis-induced acute kidney injury |
topic | Endocrinology/Diabetes/Metabolism |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10206602/ https://www.ncbi.nlm.nih.gov/pubmed/37228554 http://dx.doi.org/10.7759/cureus.38042 |
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