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Hyperosmolar hyperglycemic state in children: case report and review of the literature
Hyperosmolar hyperglycemic state (HHS) is a rare complication in children and a life-threatening emergency that presents with a significant increase in blood sugar and hyperosmolarity with or without low ketosis. This study reports the case of a 9-year-old boy with severe HHS due to type 1 diabetes....
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Vienna
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9152644/ https://www.ncbi.nlm.nih.gov/pubmed/35669285 http://dx.doi.org/10.1007/s41969-022-00164-1 |
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author | Shahramian, Iraj Ostad Rahimi, Pouya Radvar, Sepideh |
author_facet | Shahramian, Iraj Ostad Rahimi, Pouya Radvar, Sepideh |
author_sort | Shahramian, Iraj |
collection | PubMed |
description | Hyperosmolar hyperglycemic state (HHS) is a rare complication in children and a life-threatening emergency that presents with a significant increase in blood sugar and hyperosmolarity with or without low ketosis. This study reports the case of a 9-year-old boy with severe HHS due to type 1 diabetes. The patient’s initial serum glucose level was 1600; however, he was discharged in a stable condition. The patient presented many of the known complications of HHS, including decreased level of consciousness, hypovolemic shock, acute kidney injury, and very high serum glucose levels. The patient responded well to invasive fluid resuscitation and insulin administration, was discharged in good general condition without HHS-related complications, and was followed up with insulin therapy. As the prevalence of HHS in children is increasing, it is necessary for physicians to be aware of the unusual manifestations in children, especially children with type 1 diabetes, and to have the ability to diagnose and manage HHS and differentiate it from diabetic ketoacidosis. |
format | Online Article Text |
id | pubmed-9152644 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer Vienna |
record_format | MEDLINE/PubMed |
spelling | pubmed-91526442022-06-02 Hyperosmolar hyperglycemic state in children: case report and review of the literature Shahramian, Iraj Ostad Rahimi, Pouya Radvar, Sepideh J Klin Endokrinol Stoffwechs Case Report Hyperosmolar hyperglycemic state (HHS) is a rare complication in children and a life-threatening emergency that presents with a significant increase in blood sugar and hyperosmolarity with or without low ketosis. This study reports the case of a 9-year-old boy with severe HHS due to type 1 diabetes. The patient’s initial serum glucose level was 1600; however, he was discharged in a stable condition. The patient presented many of the known complications of HHS, including decreased level of consciousness, hypovolemic shock, acute kidney injury, and very high serum glucose levels. The patient responded well to invasive fluid resuscitation and insulin administration, was discharged in good general condition without HHS-related complications, and was followed up with insulin therapy. As the prevalence of HHS in children is increasing, it is necessary for physicians to be aware of the unusual manifestations in children, especially children with type 1 diabetes, and to have the ability to diagnose and manage HHS and differentiate it from diabetic ketoacidosis. Springer Vienna 2022-05-31 2022 /pmc/articles/PMC9152644/ /pubmed/35669285 http://dx.doi.org/10.1007/s41969-022-00164-1 Text en © The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, ein Teil von Springer Nature 2022 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Case Report Shahramian, Iraj Ostad Rahimi, Pouya Radvar, Sepideh Hyperosmolar hyperglycemic state in children: case report and review of the literature |
title | Hyperosmolar hyperglycemic state in children: case report and review of the literature |
title_full | Hyperosmolar hyperglycemic state in children: case report and review of the literature |
title_fullStr | Hyperosmolar hyperglycemic state in children: case report and review of the literature |
title_full_unstemmed | Hyperosmolar hyperglycemic state in children: case report and review of the literature |
title_short | Hyperosmolar hyperglycemic state in children: case report and review of the literature |
title_sort | hyperosmolar hyperglycemic state in children: case report and review of the literature |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9152644/ https://www.ncbi.nlm.nih.gov/pubmed/35669285 http://dx.doi.org/10.1007/s41969-022-00164-1 |
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