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Diabetic ketoacidosis with pneumomediastinum: a case report

An 18-year-old male with type 1 diabetes mellitus presented to the emergency department after one day of lethargy and vomiting. Physical examination revealed a dehydrated male with tachycardia and Kussmaul’s respiration. There was subcutaneous emphysema in both supraclavicular regions. Chest auscult...

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Detalles Bibliográficos
Autores principales: Makdsi, Fadi, Kolade, Victor O
Formato: Texto
Lenguaje:English
Publicado: Cases Network Ltd 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2769401/
https://www.ncbi.nlm.nih.gov/pubmed/19918451
http://dx.doi.org/10.4076/1757-1626-2-8095
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author Makdsi, Fadi
Kolade, Victor O
author_facet Makdsi, Fadi
Kolade, Victor O
author_sort Makdsi, Fadi
collection PubMed
description An 18-year-old male with type 1 diabetes mellitus presented to the emergency department after one day of lethargy and vomiting. Physical examination revealed a dehydrated male with tachycardia and Kussmaul’s respiration. There was subcutaneous emphysema in both supraclavicular regions. Chest auscultation revealed a positive Hamman’s sign. Laboratory investigation was significant for metabolic acidosis with venous blood pH 7.08. Plasma glucose was 1438 mg/dl; ketones were present in the urine. Chest X-ray showed subcutaneous emphysema and pneumomediastinum, which resolved spontaneously within 72 hours of initiation of treatment for diabetic ketoacidosis. Pneumomediastinum is an uncommon complication of diabetic ketoacidosis. Recognizing that severe diabetic ketoacidosis may cause pneumomediastinum allows for expedient management.
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spelling pubmed-27694012009-11-16 Diabetic ketoacidosis with pneumomediastinum: a case report Makdsi, Fadi Kolade, Victor O Cases J Case report An 18-year-old male with type 1 diabetes mellitus presented to the emergency department after one day of lethargy and vomiting. Physical examination revealed a dehydrated male with tachycardia and Kussmaul’s respiration. There was subcutaneous emphysema in both supraclavicular regions. Chest auscultation revealed a positive Hamman’s sign. Laboratory investigation was significant for metabolic acidosis with venous blood pH 7.08. Plasma glucose was 1438 mg/dl; ketones were present in the urine. Chest X-ray showed subcutaneous emphysema and pneumomediastinum, which resolved spontaneously within 72 hours of initiation of treatment for diabetic ketoacidosis. Pneumomediastinum is an uncommon complication of diabetic ketoacidosis. Recognizing that severe diabetic ketoacidosis may cause pneumomediastinum allows for expedient management. Cases Network Ltd 2009-09-09 /pmc/articles/PMC2769401/ /pubmed/19918451 http://dx.doi.org/10.4076/1757-1626-2-8095 Text en © 2009 Makdsi and Kolade; licensee Cases Network Ltd. http://creativecommons.org/licenses/by/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case report
Makdsi, Fadi
Kolade, Victor O
Diabetic ketoacidosis with pneumomediastinum: a case report
title Diabetic ketoacidosis with pneumomediastinum: a case report
title_full Diabetic ketoacidosis with pneumomediastinum: a case report
title_fullStr Diabetic ketoacidosis with pneumomediastinum: a case report
title_full_unstemmed Diabetic ketoacidosis with pneumomediastinum: a case report
title_short Diabetic ketoacidosis with pneumomediastinum: a case report
title_sort diabetic ketoacidosis with pneumomediastinum: a case report
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2769401/
https://www.ncbi.nlm.nih.gov/pubmed/19918451
http://dx.doi.org/10.4076/1757-1626-2-8095
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