Ventricular bigeminy and trigeminy caused by hypophosphataemia during diabetic ketoacidosis treatment: a case report

BACKGROUND: Hypophosphatemia has many causes, and is often encountered during DKA (Diabetic Ketoacidosis) treatment. However, it rarely requires clinical intervention. CASE PRESENTATION: Ventricular arrhythmia was observed in a 10-year-old girl with newly diagnosed type 1 diabetes mellitus and hypop...

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Autores principales: Miszczuk, Konrad, Mroczek-Wacinska, Joanna, Piekarski, Robert, Wysocka- Lukasik, Beata, Jawniak, Renata, Ben-Skowronek, Iwona
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444668/
https://www.ncbi.nlm.nih.gov/pubmed/30940174
http://dx.doi.org/10.1186/s13052-019-0633-y
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author Miszczuk, Konrad
Mroczek-Wacinska, Joanna
Piekarski, Robert
Wysocka- Lukasik, Beata
Jawniak, Renata
Ben-Skowronek, Iwona
author_facet Miszczuk, Konrad
Mroczek-Wacinska, Joanna
Piekarski, Robert
Wysocka- Lukasik, Beata
Jawniak, Renata
Ben-Skowronek, Iwona
author_sort Miszczuk, Konrad
collection PubMed
description BACKGROUND: Hypophosphatemia has many causes, and is often encountered during DKA (Diabetic Ketoacidosis) treatment. However, it rarely requires clinical intervention. CASE PRESENTATION: Ventricular arrhythmia was observed in a 10-year-old girl with newly diagnosed type 1 diabetes mellitus and hypophosphatemia while undergoing treatment for ketoacidosis. Oral phosphate supplementation ceased ventricular arrhythmia almost completely. CONCLUSIONS: The clinical signs of hypophosphatemia are potentially life-threatening. Therefore, physicians should be vigilant when treating patients who are at risk of hypophosphatemia. Severe hypophosphatemia accompanied by clinical symptoms requires oral or intravenous supplementation of phosphate.
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spelling pubmed-64446682019-04-12 Ventricular bigeminy and trigeminy caused by hypophosphataemia during diabetic ketoacidosis treatment: a case report Miszczuk, Konrad Mroczek-Wacinska, Joanna Piekarski, Robert Wysocka- Lukasik, Beata Jawniak, Renata Ben-Skowronek, Iwona Ital J Pediatr Case Report BACKGROUND: Hypophosphatemia has many causes, and is often encountered during DKA (Diabetic Ketoacidosis) treatment. However, it rarely requires clinical intervention. CASE PRESENTATION: Ventricular arrhythmia was observed in a 10-year-old girl with newly diagnosed type 1 diabetes mellitus and hypophosphatemia while undergoing treatment for ketoacidosis. Oral phosphate supplementation ceased ventricular arrhythmia almost completely. CONCLUSIONS: The clinical signs of hypophosphatemia are potentially life-threatening. Therefore, physicians should be vigilant when treating patients who are at risk of hypophosphatemia. Severe hypophosphatemia accompanied by clinical symptoms requires oral or intravenous supplementation of phosphate. BioMed Central 2019-04-02 /pmc/articles/PMC6444668/ /pubmed/30940174 http://dx.doi.org/10.1186/s13052-019-0633-y Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Miszczuk, Konrad
Mroczek-Wacinska, Joanna
Piekarski, Robert
Wysocka- Lukasik, Beata
Jawniak, Renata
Ben-Skowronek, Iwona
Ventricular bigeminy and trigeminy caused by hypophosphataemia during diabetic ketoacidosis treatment: a case report
title Ventricular bigeminy and trigeminy caused by hypophosphataemia during diabetic ketoacidosis treatment: a case report
title_full Ventricular bigeminy and trigeminy caused by hypophosphataemia during diabetic ketoacidosis treatment: a case report
title_fullStr Ventricular bigeminy and trigeminy caused by hypophosphataemia during diabetic ketoacidosis treatment: a case report
title_full_unstemmed Ventricular bigeminy and trigeminy caused by hypophosphataemia during diabetic ketoacidosis treatment: a case report
title_short Ventricular bigeminy and trigeminy caused by hypophosphataemia during diabetic ketoacidosis treatment: a case report
title_sort ventricular bigeminy and trigeminy caused by hypophosphataemia during diabetic ketoacidosis treatment: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444668/
https://www.ncbi.nlm.nih.gov/pubmed/30940174
http://dx.doi.org/10.1186/s13052-019-0633-y
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