• Eur J Emerg Med · Dec 2005

    Case Reports

    Metabolic hyperglycemic emergencies with acute pancreatitis in a child with known insulin-dependent diabetes mellitus.

    • Pulin B Koul and Jeffrey B Sussmane.
    • Division of Critical Care Pediatrics, Miami Children's Hospital, Miami, Florida, USA. tulmula@yahoo.com
    • Eur J Emerg Med. 2005 Dec 1; 12 (6): 309-11.

    AbstractThe combined clinical and biochemical profile of diabetic ketoacidosis, hyperglycemic hyperosmolar non-ketotic syndrome, complicated by acute pancreatitis, in an 11-year-old with established insulin-dependent diabetes mellitus, is presented. The management requires diligent correction of dehydration and hyperglycemia, while monitoring neurological status and blood chemistry. It is imperative to monitor and avoid potentially fatal complications of the combined entity, namely, cerebral edema, thromboembolism, acute respiratory distress syndrome and rhabdomyolysis. Excluding acute pancreatitis in the face of persistent abdominal pain in this setting is emphasized.

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